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Organization

PEDIATRIC ASSOCIATES PROF LLC

Active
Parent organization
PEDIATRIC ASSOCIATES PROF LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC ASSOCIATES PROF LLC
Authorized official
AMBER HICKERT (PRACTICE ADMINISTRATOR)
(970) 249-2421
Entity
Organization

Contact information

Practice address
242 COTTONWOOD ST, DELTA, CO 81416-4403
(970) 874-7552
(855) 638-4966
Mailing address
947 SOUTH 5TH STREET, MONTROSE, CO 81401
(970) 249-2421
(855) 638-4966

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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