# HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003679424
- **Legal business name:** HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
- **Authorized official:** NICHOLAS F WADLINGTON (VICE PRESIDENT)
- **Authorized official phone:** (972) 401-9807

## Contact information

- **Practice address:** 2635 N 7TH ST STE 405, GRAND JUNCTION, CO 81501-8209
- **Practice address phone:** (303) 839-6001
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 373-7406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2024
- **Last updated:** 01/31/2024