Organization
SMALL WORLD PEDIATRICS LLC
Active
Organization
SMALL WORLD PEDIATRICS LLC
Active
Parent organization
SMALL WORLD PEDIATRICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMALL WORLD PEDIATRICS LLC
Authorized official
TERRI L. ROOKS (OFFICE MANAGER)
(719) 647-2396
Entity
Organization
Contact information
Practice address
332 S. ORCHARD SPRINGS DR., STE 150, PUEBLO, CO 81007-6154
(719) 253-7640
(719) 253-7644
Mailing address
332 S. ORCHARD SPRINGS DR., STE 150, PUEBLO, CO 81007-6154
(719) 253-7640
(719) 253-7644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30862
CO
Other
Enumeration date
10/19/2006
Last updated
04/28/2016
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