National Provider Identifier Database

PEDIATRIC ADOLESCENT MEDICINE
Adolescent Medicine

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.


Contact Information

PEDIATRIC & ADOLESCENT MEDICINE
9235 CROWN CREST BLVD
SUITE 100
PARKER, CO80138-8880
Phone: 303-695-7667
Fax: 303-695-8146
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC & ADOLESCENT MEDICINE

NPI Number 1821180506
Legal business name
LBN
PEDIATRIC & ADOLESCENT MEDICINE
Authorized official DAVID ROOS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/29/2006
Last updated 01/22/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 04009304

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.

Reviews for PEDIATRIC & ADOLESCENT MEDICINE

There are currently no reviews for PEDIATRIC & ADOLESCENT MEDICINE


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