Organization
RIVER VALLEY PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T DUBE' M.D. (M.D.)
(719) 276-2222
Entity
Organization
Contact information
Practice address
1335 PHAY AVE, CANON CITY, CO 81212-2334
(719) 276-2222
(719) 276-9199
Mailing address
1335 PHAY AVE, CANON CITY, CO 81212-2349
(719) 276-2222
(719) 276-9199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93233086
—
CO
Enumeration date
04/11/2006
Last updated
08/20/2010
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