| NPI | 1669008116 |
|---|---|
| Doing Business As | INDIAN CREST PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JODY KARRASCH Business Manager 303-422-7677 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-12-10 |