Pediatric Partners of the Southwest

NPI #1083717219 in Durango, Colorado

Provider Information

NPI Number: 1083717219
Entity Type: Organization
Organization Name: Pediatric Partners of the Southwest
Primary Specialty: Pediatrics
Enumeration Date: Sep 6, 2006
Last Updated: Jun 29, 2023

Practice Location

Address: 810 EAST 3RD ST, SUITE #301
Address 2: PEDIATRIC PARTNERS OF THE SOUTHWEST
City: Durango
State: Colorado
ZIP Code: 81301
Phone: (970) 375-0100

Authorized Official

Name: DR. MARTHA CECILE FRALEY, MD
Title: PHYSICIAN ADMINISTRATOR/ CEO
Phone: (970) 375-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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