| Castle Rock Pediatrics Pllc | |
|
1001 S Perry St Ste 101b Castle Rock CO 80104-2668 | |
| (303) 688-2228 | |
| (303) 663-0640 |
| Full Name | Castle Rock Pediatrics Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1001 S Perry St, Castle Rock, Colorado |
| Authorized Official Name and Position | Rita E Thieme (OWNER) |
| Authorized Official Contact | 3036882228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Rock Pediatrics Pllc 1001 S Perry St Ste 101b Castle Rock CO 80104-2668 Ph: (303) 688-2228 | Castle Rock Pediatrics Pllc 1001 S Perry St Ste 101b Castle Rock CO 80104-2668 Ph: (303) 688-2228 |
| NPI Number | 1548289614 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548289614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 31685 (Colorado) | Primary |
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Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |
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