Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Active
Other names
Rocky Mountain Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHEN (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
4700 LADY MOON DR, FORT COLLINS, CO 80528-4426
(970) 821-4000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000166171
—
CO
Enumeration date
06/02/2020
Last updated
06/10/2024
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