Organization
PEDIATRIC PARTNERS OF THE SOUTHWEST
Active
Organization
PEDIATRIC PARTNERS OF THE SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA CECILE FRALEY MD (PHYSICIAN ADMINISTRATOR/ CEO)
(970) 375-0100
Entity
Organization
Contact information
Practice address
810 EAST 3RD ST, SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST, DURANGO, CO 81301
(970) 375-0100
(970) 375-9210
Mailing address
810 EAST 3RD ST SUITE #301, PEDIATRIC PARTNERS OF THE SOUTHWEST, DURANGO, CO 81301
(970) 375-0100
(970) 375-9210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33703
CO
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337039
—
CO
05
—
40373037
—
CO
05
—
66033721
—
CO
05
—
948.84.315
—
CO
Enumeration date
09/06/2006
Last updated
06/29/2023
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