Pediatric Partners of the Southwest P.c.

NPI #1295488146 in Durango, Colorado

Provider Information

NPI Number: 1295488146
Entity Type: Organization
Organization Name: Pediatric Partners of the Southwest P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC PARTNERS OF THE SOUTHWEST P.C.
Primary Specialty: Pediatrics
Enumeration Date: Feb 1, 2022
Last Updated: Feb 1, 2022

Practice Location

Address: 2390 MAIN AVE
City: Durango
State: Colorado
ZIP Code: 81301-4638
Phone: (970) 375-0100

Authorized Official

Name: ALEXANDER SCHACKEL
Title: PRACTICE ADMINISTRATOR
Phone: (970) 375-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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