| NPI | 1306307665 |
|---|---|
| Other Name | PEARL STREET PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARY LEMKE Practice Administrator 303-626-7955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |