| My Place Pediatrics, Llc | |
|
700 12th St Ste 220 Golden CO 80401-1231 | |
| (720) 432-0244 | |
| Not Available |
| Full Name | My Place Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 700 12th St Ste 220, Golden, Colorado |
| Authorized Official Name and Position | Sheila Tann (OWNER / PRACTITIONER) |
| Authorized Official Contact | 7204320244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Place Pediatrics, Llc 700 12th St Ste 220 Golden CO 80401-1231 Ph: (720) 432-0244 | My Place Pediatrics, Llc 700 12th St Ste 220 Golden CO 80401-1231 Ph: (720) 432-0244 |
| NPI Number | 1942906656 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942906656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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