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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