| NPI | 1801410089 |
|---|---|
| Doing Business As | RICKY MOUNTAIN PEDIATRIC CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-06-10 |