Organization
PENCE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAILA HELDT PENCE MD (AUTHORIZED OFFICIAL)
(719) 890-7723
Entity
Organization
Contact information
Practice address
10 RUPERT ST, MONTE VISTA, CO 81144-1042
(719) 852-3742
Mailing address
10 RUPERT ST, MONTE VISTA, CO 81144-1042
(719) 852-3742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
05/23/2024
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