Organization
HEALTHY HABITS PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE BRAZELTON M.D. (OWNER)
(303) 972-2000
Entity
Organization
Contact information
Practice address
6179 S BALSAM WAY, SUITE 205, LITTLETON, CO 80123-3091
(303) 972-2000
(720) 245-2690
Mailing address
6179 S BALSAM WAY, SUITE 205, LITTLETON, CO 80123-3091
(303) 972-2000
(720) 245-2690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31178
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03170578
—
CO
Enumeration date
01/04/2012
Last updated
07/31/2012
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