# CHILDREN'S HOSPITAL COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL COLORADO
- **Other names:** Children's Colorado - Sports Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174346928
- **Legal business name:** CHILDREN'S HOSPITAL COLORADO
- **Authorized official:** LINDA MICHAEL (VP, CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (720) 777-6537

## Contact information

- **Practice address:** 13123 E 16TH AVE, AURORA, CO 80045-7106
- **Practice address phone:** (720) 777-1234
- **Mailing address:** 13123 E 16TH AVE, AURORA, CO 80045-7106
- **Mailing address phone:** (720) 777-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2024
- **Last updated:** 10/31/2024