Organization
ASPEN VALLEY PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY FAHY MD (OWNER)
(970) 544-1300
Entity
Organization
Contact information
Practice address
630 E HYMAN AVENUE, SUITE 25, ASPEN, CO 81611
(970) 544-1300
(970) 544-1334
Mailing address
630 E HYMAN AVENUE, SUITE 25, ASPEN, CO 81611
(970) 544-1300
(970) 285-1839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19921112619
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53579054
—
CO
05
—
82027277
—
CO
Enumeration date
05/24/2007
Last updated
03/03/2015
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