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NPI Profile for PEDIATRIC ASSOCIATES OF CANON CITY PROF LLC in CAÑON CITY, CO.
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1457498131 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/31/2007 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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PEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC