Organization · Type 2 NPI
Lil Buckaroo Pediatrics
Primary Care Clinic/Center · Fowler, CO
NPI number
1780429472
Active
Practice location
402 W US Highway 50
Fowler, CO 81039-9752
Mailing address
65200 Stroud Rd
Boone, CO 81025-9617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1780429472
Lil Buckaroo Pediatrics's National Provider Identifier is 1780429472, issued on Jun 26, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fowler, CO. The record was last updated on Jun 26, 2024.