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Contact Information

PEDIATRICS 5280, PC
2352 MEADOWS BLVD
SUITE 150
CASTLE ROCK, CO80109
 Phone: 303-779-5437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRICS 5280 PC · (Female)

NPI Number 1134545395
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2014
Last updated 03/12/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 04013280
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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