# CCPARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kidz Biz Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487857033
- **Authorized official:** JOSHUA PAUL BOLDT MD (PHYSICIAN/PARTNER)
- **Authorized official phone:** (636) 933-4141

## Contact information

- **Practice address:** 35 GOODWIN DR, FESTUS, MO 63028-4122
- **Practice address phone:** (636) 933-4141
- **Practice address fax:** (636) 931-7007
- **Mailing address:** 35 GOODWIN DR, FESTUS, MO 63028-4122
- **Mailing address phone:** (636) 933-4141
- **Mailing address fax:** (636) 931-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 02/07/2014