Organization
CASTLE ROCK PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK BOUCHILLON MD (OWNER)
(303) 688-2228
Entity
Organization
Contact information
Practice address
410 S WILCOX ST STE 102, CASTLE ROCK, CO 80104-2663
(303) 688-2228
(303) 663-0640
Mailing address
410 S WILCOX ST STE 102, CASTLE ROCK, CO 80104-2663
(303) 688-2228
(303) 663-0640
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31685
CO
Other
Enumeration date
07/19/2006
Last updated
05/29/2026
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