Crested Butte Pediatrics Prof LLC
NPI #1992235873 in Crested Butte, Colorado
Provider Information
- NPI Number
- 1992235873
- Entity Type
- Organization
- Organization Name
- Crested Butte Pediatrics Prof LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 14, 2017
- Last Updated
- Jun 14, 2017
Practice Location
- Address
- 419 6TH STREET
- Address 2
- SUITE 202
- City
- Crested Butte
- State
- Colorado
- ZIP Code
- 81224
- Phone
- (970) 349-6606
Authorized Official
- Name
- JENNIFER M SANDERFORD, MD
- Title
- SOLE MEMBER
- Phone
- (954) 294-1963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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