Organization
PEDIATRIC PARTNERS
Active
Organization
PEDIATRIC PARTNERS
Active
Other names
Valley View Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA L WASLI (CFO)
(970) 384-6605
Entity
Organization
Contact information
Practice address
1905 BLAKE AVE STE 201, GLENWOOD SPRINGS, CO 81601-4286
(970) 947-9999
(970) 947-9226
Mailing address
1905 BLAKE AVE STE 201, GLENWOOD SPRINGS, CO 81601-4286
(970) 947-9999
(970) 947-9226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51629313
—
CO
05
—
55589031
—
CO
05
—
59106298
—
CO
05
—
78107598
—
CO
05
—
87459213
—
CO
05
—
90333845
—
CO
Enumeration date
05/11/2007
Last updated
02/17/2017
Update your record
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