PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING PC NPI 1720334899

NPI Information

PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC is a pediatrics nurse practitioner in Littleton, CO. PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC NPI is 1720334899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6179 S BALSAM WAY
#205
LITTLETON, CO
ZIP 80123-091
Phone: (720) 771-1135
Fax: (303) 889-5247

The provider's authorized official is Michelle Lynn Mcgarry .
The authorized official title is Director, President and has the following contact phone number (720) 771-1135.

The enumeration date for this NPI number is 7/26/2012 and was last updated on 9/7/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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