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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
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