Pence Pediatrics, Pc | |
10 Rupert Street West Entrance Monte Vista CO 81144 | |
(719) 852-3742 | |
(719) 785-5741 |
Full Name | Pence Pediatrics, Pc |
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Speciality | Clinic/center - Rural Health |
Location | 10 Rupert Street, Monte Vista, Colorado |
Authorized Official Name and Position | Mikaila Heldt Pence (PRESIDENT) |
Authorized Official Contact | 7198523742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pence Pediatrics, Pc 10 Rupert Street West Entrance Monte Vista CO 81144 Ph: (719) 852-3742 | Pence Pediatrics, Pc 10 Rupert Street West Entrance Monte Vista CO 81144 Ph: (719) 852-3742 |
NPI Number | 1518677020 |
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Provider Enumeration Date | 11/25/2022 |
Last Update Date | 11/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518677020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Monte Vista Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Chico Ct, Monte Vista, CO 81144 Phone: 719-852-9400 | |