Organization
PUEBLO PEDIATRICS, LLC
Active
Organization
PUEBLO PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUAZI R PARVIN MD (MANAGER)
(719) 404-3665
Entity
Organization
Contact information
Practice address
900 INDIANA AVE, SUITE D, PUEBLO, CO 81004-3766
(719) 404-3672
(719) 564-0374
Mailing address
200 S SANTA FE AVE, SUITE 500, PUEBLO, CO 81003-4270
(719) 296-5842
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43488
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851378749
NPI INDIVIDUAL
CO
05
—
88981541
—
CO
Enumeration date
09/14/2010
Last updated
12/08/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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