| NPI | 1629030689 |
|---|---|
| Former Legal Business Name | PEDIATRICS DTC PC |
| Entity Type | Organization |
| Authorized Contact | ROBERT HOLBROOK STAPP President Physician 303-779-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-07-08 |