Organization
PINNACLE MEDICAL PARTNERS LLC
Active
Organization
PINNACLE MEDICAL PARTNERS LLC
Active
Other names
Lone Tree Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEPHTALI MATTA (PRACTICE ADMINISTRATOR)
(402) 613-4441
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY, SUITE 221, LONE TREE, CO 80124-5520
(303) 803-1005
(303) 798-3248
Mailing address
10103 RIDGEGATE PKWY, SUITE 221, LONE TREE, CO 80124-5520
(303) 803-1005
(303) 798-3248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36496
CO
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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