NPI | 1548891815 |
---|---|
Former Legal Business Name | OPTUMCARE COLORADO SPRINGS LLC |
Doing Business As | ABC PEDIATRICS |
Entity Type | Organization |
Authorized Contact | DAVID I COHEN Medical Director 702-480-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-03-07 |