| NPI | 1295488146 |
|---|---|
| Former Legal Business Name | PEDIATRIC PARTNERS OF THE SOUTHWEST P.C. |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SCHACKEL Practice Administrator 970-375-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |