| NPI | 1477794428 |
|---|---|
| Doing Business As | SUNRISE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | PAMELA WALLACE CASSON Pediatrician 719-598-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |