| NPI | 1851866180 |
|---|---|
| Doing Business As | PEDIACLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES FEITEN Board Member 303-981-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2018-10-13 |