Pediatric Associates Prof LLC

NPI #1033614334 in Montrose, Colorado

Provider Information

NPI Number
1033614334
Entity Type
Organization
Organization Name
Pediatric Associates Prof LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PEDIATRIC ASSOCIATES PROF LLC
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Mar 28, 2018
Last Updated
Mar 28, 2018

Practice Location

Address
910 S 4TH ST
ZIP Code
81401-4226
Phone
(970) 249-2421

Authorized Official

Name
AMBER HICKERT
Title
PRACTICE ADMINISTRATOR
Phone
(970) 249-2421

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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