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PEDIATRIC ASSOCIATES PROF LLC NPI 1831694231


NPI Information

NPI: 1831694231
Provider Name: PEDIATRIC ASSOCIATES PROF LLC

Doing Business As: DELTA OFFICE PEDIATRIC ASSOCIATES

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D2021354

Address:
242 COTTONWOOD ST STE 101
DELTA, CO
ZIP 81416
Phone: (970) 874-7552
Get Directions

PEDIATRIC ASSOCIATES PROF LLC is a pediatrics in Delta, 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 ASSOCIATES PROF LLC NPI is 1831694231. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Delta Office Pediatric Associates.

The provider's business location address is:

242 COTTONWOOD ST STE 101
DELTA, CO
ZIP 81416-404
Phone: (970) 874-7552
Fax: (970) 874-7554

The provider's authorized official is Amber Hickert .
The authorized official title is Practice Administrator and has the following contact phone number (970) 249-2421.

The CLIA number assigned to this NPI record is 06D2021354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2018 and was last updated on 11/9/2023.


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
1208000000XPediatricsYes

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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