Organization
PEDIATRIC PARTNERS OF THE SOUTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA CECILE FRALEY MD (PARNER)
(970) 375-0010
Entity
Organization
Contact information
Practice address
575 RIVERGATE, SUITE 109, DURANGO, CO 81301-7487
(970) 375-0100
Mailing address
575 RIVERGATE, SUITE 109, DURANGO, CO 81301-7487
(970) 375-0100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1083717219
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188358
—
CO
Enumeration date
01/03/2008
Last updated
01/03/2008
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