| NPI | 1518353374 |
|---|---|
| Doing Business As | LONE TREE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | NEPHTALI MATTA Practice Administrator 402-613-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 36496) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |