| NPI | 1548261324 |
|---|---|
| Doing Business As | THE PEDIATRIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | THOMAS DAWSON WIARD Managing/Partner 970-249-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-01-13 |