| NPI | 1326399361 |
|---|---|
| Other Name | WESTERN COLORADO PEDIATRIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BEVERLY J CLARK Credentialing Coordinator 970-254-2642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2022-01-04 |