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PUEBLO PEDIATRICS LLC NPI 1588972301


NPI Information

NPI: 1588972301
Provider Name: PUEBLO PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
900 INDIANA AVE
SUITE D
PUEBLO, CO
ZIP 81004
Phone: (719) 404-3672
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PUEBLO 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. PUEBLO PEDIATRICS, LLC NPI is 1588972301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 INDIANA AVE
SUITE D
PUEBLO, CO
ZIP 81004-766
Phone: (719) 404-3672
Fax: (719) 564-0374

The provider's authorized official is Quazi R Parvin .
The authorized official title is Manager and has the following contact phone number (719) 404-3665.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 12/8/2010.


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
1208000000XPediatrics43488COLORADOYes

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
11851378749OTHERCOLORADONPI INDIVIDUAL
288981541MEDICAIDCOLORADO

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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