| NPI | 1134545395 |
|---|---|
| Former Legal Business Name | PEDIATRICS DTC, PC |
| Entity Type | Organization |
| Authorized Contact | MIKE RIPPERTON Administrator 303-779-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |