Organization
PEDIATRICS WEST, P.C.
Active
Parent organization
PEDIATRICS WEST, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRICS WEST, P.C.
Authorized official
MR. TYM C JOHNSON MBA (PRACTICE ADMINISTRATOR)
(720) 284-3700
Entity
Organization
Contact information
Practice address
13402 W COAL MINE AVE STE 200, LITTLETON, CO 80127-5407
(720) 284-3700
Mailing address
3555 LUTHERAN PKWY STE 200, WHEAT RIDGE, CO 80033-6027
(720) 284-3700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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