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Contact Information

PEDIATRIC PARTNERS OF THE SOUTHWEST
810 EAST 3RD ST, SUITE #301
PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO81301
 Phone: 970-375-0100
 Fax: 970-375-9210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC PARTNERS OF THE SOUTHWEST · (Female)

NPI Number 1083717219
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2006
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 33703
  • CO Medicaid 01337039
  • CO Medicaid 40373037
  • CO Medicaid 66033721
  • CO Medicaid 948.84.315
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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