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MOUNTAINLAND PEDIATRICS PC NPI 1174605489


NPI Information

NPI: 1174605489
Provider Name: MOUNTAINLAND PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D0672594

Address:
8889 FOX DRIVE
SUITE A
DENVER, CO
ZIP 80260
Phone: (303) 430-0823
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MOUNTAINLAND PEDIATRICS PC is a pediatrics in Denver, 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. MOUNTAINLAND PEDIATRICS PC NPI is 1174605489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8889 FOX DRIVE
SUITE A
DENVER, CO
ZIP 80260-842
Phone: (303) 430-0823
Fax: (303) 426-9581

The provider's authorized official is Susan E Spoerke .
The authorized official title is President/ceo and has the following contact phone number (303) 430-0823.

The CLIA number assigned to this NPI record is 06D0672594 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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
10600672594OTHERCOLORADOCLIA
204008363MEDICAIDCOLORADO

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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