Organization · Type 2 NPI

Pediatric Associates Prof LLC

Pediatric Adolescent Medicine Physician · Montrose, CO

NPI number 1033614334 Active

Practice location

910 S 4th St
Montrose, CO 81401-4226

Call (970) 249-2421 Map

Fax (970) 249-1203

Mailing address

947 S 5th St
Montrose, CO 81401-5716

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

12 other providers at this address

NPI record

NPI: 1033614334
Entity type: Organization (Type 2)
Issued: Mar 28, 2018
Last updated: Mar 28, 2018
Status: Active
Subpart: Yes of Pediatric Associates Prof LLC

Other names

<unavail>
Teen Care Center · doing business as
Teen Care Center · doing business as

Authorized official

Amber Hickert
Practice Administrator
(970) 249-2421

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033614334

Pediatric Associates Prof LLC's National Provider Identifier is 1033614334, issued on Mar 28, 2018. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Montrose, CO. The record was last updated on Mar 28, 2018.