PEDIATRIC ASSOCIATES PROF LLC; NPI #1033614334

Contact Information

PEDIATRIC ASSOCIATES PROF LLC

910 S 4TH ST
MONTROSE, CO 81401-4226

Phone: 970-249-2421
Fax: 970-249-1203
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for PEDIATRIC ASSOCIATES PROF LLC

NPI #	`1033614334`
LBN Legal business name	PEDIATRIC ASSOCIATES PROF LLC
Authorized official	AMBER HICKERT - (PRACTICE ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/28/2018
Last updated	03/28/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PEDIATRIC ASSOCIATES PROF LLC

Contact Information

Specialty

Adolescent Medicine

NPI Profile & details for PEDIATRIC ASSOCIATES PROF LLC

Reviews for PEDIATRIC ASSOCIATES PROF LLC