I have been going to Dr. Cunningham and Dr. Karius for almost 10 years. This is the first time I felt the need to write a review but I think that everybody should know the kind of experiences I've been having lately. Back when I started going to this practice it was very organized and very professional. Over the last year to 18 months it is gone downhill very VERY quickly. The doctors come in for two maybe three minutes and bill you for an extended visit (which is the half an hour rate instead of the 15 minute rate). If you're paying through insurance it's not that big of a deal but if you're paying privately it sure is. On top of the "get them and get them out" attitude the front office staff is extremely rude, and the worst experience I've had with them is the fact that my wife is out of one of her maintenance medications and has called 7 times over the last three weeks to get a refill as well as having the pharmacy do it for her. The practice is too big, they've outgrown their britches and the care is lacking. If you're looking for new physician my advice would be to stay clear of Pueblo family physicians. P.S. Before writing this review I did send two letters to the practice to ask them about why their service is going down hill so fast. They never even bothered to call me back. That's why felt a yelp review and I'm also going to be doing a Google review was warranted.