Pediatrics West, P.c. | |
3555 Lutheran Parkway Suite 200 Wheat Ridge CO 80033-6027 | |
(720) 284-3700 | |
(303) 467-0525 |
Full Name | Pediatrics West, P.c. |
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Speciality | Clinic/center - Primary Care |
Location | 3555 Lutheran Parkway, Wheat Ridge, Colorado |
Authorized Official Name and Position | Tym C Johnson (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7202843708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatrics West, P.c. 3555 Lutheran Parkway Suite 200 Wheat Ridge CO 80033-6027 Ph: (720) 284-3700 | Pediatrics West, P.c. 3555 Lutheran Parkway Suite 200 Wheat Ridge CO 80033-6027 Ph: (720) 284-3700 |
NPI Number | 1275559569 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 06/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275559569 | NPI | - | NPPES |
08683778 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Colorado) | Primary |
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