Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Active
Other names
Rocky Mountain Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHEN (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
180 S FRONTAGE RD W, VAIL, CO 81657-5038
(970) 479-7278
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44500351
—
CO
Enumeration date
06/03/2020
Last updated
06/10/2024
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