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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC & ADOLESCENT MEDICINE

NPI # 1821180506
LBN Legal business name PEDIATRIC & ADOLESCENT MEDICINE
Authorized official DAVID ROOS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 01/22/2014 - About 12 years ago
Identifiers
CO Medicaid 04009304
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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