# PEDIATRIC ORTHOPAEDIC ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669415840
- **Authorized official:** JOHN TOMLIN (MANAGER)
- **Authorized official phone:** (651) 325-2109

## Contact information

- **Practice address:** 200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
- **Practice address phone:** (651) 325-2121
- **Practice address fax:** (651) 325-2122
- **Mailing address:** 200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
- **Mailing address phone:** (651) 325-2121
- **Mailing address fax:** (651) 325-2122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 02/22/2008