Organization
PEDIACLINIC LLC
Active
Organization
PEDIACLINIC LLC
Active
Parent organization
PEDIACLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIACLINIC
Authorized official
DANIEL JAMES FEITEN MD (MANAGER)
(303) 981-1494
Entity
Organization
Contact information
Practice address
3911 AMBROSIA ST STE 100, CASTLE ROCK, CO 80109-3887
(303) 302-3879
(720) 325-2327
Mailing address
9555 S UNIVERSITY BLVD UNIT 102, HIGHLANDS RANCH, CO 80126-8114
(303) 302-3879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179794
—
CO
01
—
1851866180
NPPES
—
Enumeration date
01/26/2024
Last updated
10/06/2025
Update your record
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