Organization
CORNERSTONE PEDIATRICS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARLIN BUCKNAM M, D. (PRESIDENT)
(303) 673-9030
Entity
Organization
Contact information
Practice address
90 HEALTH PARK DR STE 160, LOUISVILLE, CO 80027-9742
(303) 673-9030
(303) 604-1095
Mailing address
90 HEALTH PARK DR STE 160, LOUISVILLE, CO 80027-9742
(303) 673-9030
(303) 604-1095
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01313659
—
CO
Enumeration date
06/18/2007
Last updated
08/22/2020
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