Organization
MOUNTAINLAND PEDICATRICS INC
Active
Parent organization
MOUNTAINLAND PEDIATRICS INC
Other names
Broomfield Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLAND PEDIATRICS INC
Authorized official
RYSHELL SCHRADER (BILLING MANAGER)
(303) 412-6091
Entity
Organization
Contact information
Practice address
3301 W 144TH AVE UNIT 200, BROOMFIELD, CO 80023-9511
(303) 438-5522
Mailing address
1870 W 122ND AVE, WESTMINSTER, CO 80234-2024
(303) 430-0823
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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