location
search-icon
institution
Pediatric Associates Of Canon City, Prof. Llc
Pediatric Adolescent Medicine Physician in Canon City, Colorado
NPI 1457498131

Pediatric Associates Of Canon City, Prof. Llc is a Pediatric Adolescent Medicine Physician based in Canon City, CO and is specialized in Adolescent Medicine. Pediatric Associates Of Canon City, Prof. Llc practices in Canon City, CO. The NPI Number for Pediatric Associates Of Canon City, Prof. Llc is 1457498131 and holds a License No. 23117 (Colorado).

The current practice location address for Pediatric Associates Of Canon City, Prof. Llc is 1335 Phay Ave, Canon City, CO and can be reached out via phone at 719-269-1727 and via fax at 719-269-1730.

Location: 1335 Phay Ave, Canon City, CO, 81212-2334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457498131
Provider Name
Pediatric Associates Of Canon City, Prof. Llc
Credential
Provider Entity Type
Organization
Address
1335 Phay Ave, Canon City, CO, 81212-2334
Phone Number
719-269-1727
Fax Number
719-269-1730
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
05638655 05 CO
01271139 05 CO
institution
Provider Business Practice Location Address Details
Address
1335 Phay Ave
City
Canon City
State
Colorado
Zip
81212-2334
Phone Number
719-269-1727
Fax Number
719-269-1730
person
Provider Business Mailing Address Details
Address
1335 Phay Ave
City
Canon City
State
Colorado
Zip
81212-2334
Phone Number
719-269-1727
Fax Number
719-269-1730
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
23117 (Colorado)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.