NPI | 1942041603 |
---|---|
Doing Business As | OPTUM COLORDO SPRINGS |
Other Name | OPTUM ABC PEDIATRICS |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Associate Director Credentialing 702-579-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-08-22 |