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SMALL WORLD PEDIATRICS LLC NPI 1619059722


NPI Information

NPI: 1619059722
Provider Name: SMALL WORLD PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D0988028

Address:
332 S. ORCHARD SPRINGS DR.
STE 150
PUEBLO, CO
ZIP 81007
Phone: (719) 253-7640
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SMALL WORLD PEDIATRICS LLC is a pediatrics in Pueblo, 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. SMALL WORLD PEDIATRICS LLC NPI is 1619059722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

332 S. ORCHARD SPRINGS DR.
STE 150
PUEBLO, CO
ZIP 81007-154
Phone: (719) 253-7640
Fax: (719) 253-7644

The provider's authorized official is Terri L. Rooks .
The authorized official title is Office Manager and has the following contact phone number (719) 647-2396.

The CLIA number assigned to this NPI record is 06D0988028 - 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 4/28/2016.


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
1208000000XPediatrics30862COLORADOYes

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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