Organization
CASTLE VALLEY CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIEANNE MOELLER CPNP (PRESIDENT)
(970) 984-3333
Entity
Organization
Contact information
Practice address
820 CASTLE VALLEY BLVD, SUITE #204, NEW CASTLE, CO 81647-9480
(970) 984-3333
(970) 984-0293
Mailing address
820 CASTLE VALLEY BLVD, SUITE #204, NEW CASTLE, CO 81647-9480
(970) 984-3333
(970) 984-0293
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08189731
—
CO
05
—
57507732
—
CO
Enumeration date
06/06/2007
Last updated
01/07/2020
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