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 |