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OBSTETRIX MEDICAL GROUP OF COLORADO P.C. NPI 1649894858


NPI Information

NPI: 1649894858
Provider Name: OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
900 CEDAR ST
JULESBURG, CO
ZIP 80737
Phone: (970) 474-3323
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OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. is a pediatric cardiology pediatrics in Julesburg, CO. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. OBSTETRIX MEDICAL GROUP OF COLORADO, P.C. NPI is 1649894858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 CEDAR ST
JULESBURG, CO
ZIP 80737-121
Phone: (970) 474-3323

The provider's authorized official is Richard P Porreco .
The authorized official title is President and has the following contact phone number (954) 384-0175.

The enumeration date for this NPI number is 6/3/2020 and was last updated on 6/3/2020.


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
12080P0202XPediatricsPediatric CardiologyYes

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
121125066MEDICAIDCOLORADO

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: 11/14/2023

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