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PEDIATRIC PARTNERS OF THE SOUTHWEST NPI 1083717219


NPI Information

NPI: 1083717219
Provider Name: PEDIATRIC PARTNERS OF THE SOUTHWEST
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
810 EAST 3RD ST, SUITE #301
PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO
ZIP 81301
Phone: (970) 375-0100
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PEDIATRIC PARTNERS OF THE SOUTHWEST is a pediatrics in Durango, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC PARTNERS OF THE SOUTHWEST NPI is 1083717219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

810 EAST 3RD ST, SUITE #301
PEDIATRIC PARTNERS OF THE SOUTHWEST
DURANGO, CO
ZIP 81301
Phone: (970) 375-0100
Fax: (970) 375-9210

The provider's authorized official is Martha Cecile Fraley .
The authorized official title is Physician Administrator/ Ceo and has the following contact phone number (970) 375-0100.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 6/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics33703COLORADONo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101337039MEDICAIDCOLORADO
240373037MEDICAIDCOLORADO
366033721MEDICAIDCOLORADO
4948.84.315MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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