Organization
PENCE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAILA HELDT PENCE MD (PRESIDENT)
(719) 852-3742
Entity
Organization
Contact information
Practice address
10 RUPERT STREET, WEST ENTRANCE, MONTE VISTA, CO 81144
(719) 852-3742
(719) 785-5741
Mailing address
10 RUPERT STREET, WEST ENTRANCE, MONTE VISTA, CO 81144
(719) 852-3742
(719) 785-5741
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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