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Contact Information

PEDIATRIC AND ADOLESCENT CENTER
3400 S ONEIDA WAY
SUITE 101
DENVER, CO80224-2850
 Phone: 303-758-0005
 Fax: 303-756-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC AND ADOLESCENT CENTER · (Female)

NPI # 1235353087
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 06/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 12100
  • CO Medicaid 99173824
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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