Dr GWYNN ANTONSON is a female medical professional, specializing in Family Medicine. She graduated in 2008 from Kansas City University Of Physicians And Surgeons.
UNIVERSITY FAMILY MEDICINE CENTER, P.C.
4020 JERRY MURPHY RD
PUEBLO
CO
810011045
Tel: 7195463600
| Npi | 1700043692 |
| Pac Id | 2567622103 |
| Professional Enrollment Id | I20130717000834 |
| Last Name | ANTONSON |
| First Name | GWYNN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | UNIVERSITY FAMILY MEDICINE CENTER, P.C. |
| Group Practice Pac Id | 9739157827 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 4020 JERRY MURPHY RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PUEBLO |
| State | CO |
| Zip Code | 810011045 |
| Phone Number | 7195463600 |
| Hospital Affiliation Ccn 1 | 060012 |
| Hospital Affiliation Lbn 1 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Hospital Affiliation Ccn 2 | 060020 |
| Hospital Affiliation Lbn 2 | PARKVIEW MEDICAL CENTER INC |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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