Organization
MOUNTAINLAND PEDIATRICS INC
Active
Parent organization
COMMUNITY REACH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY REACH CENTER
Authorized official
MR. RICHARD DOUCET (CHIEF EXECUTIVE OFFICE)
(303) 853-3500
Entity
Organization
Contact information
Practice address
8889 FOX DR, SUITE A, THORNTON, CO 80260-8841
(303) 430-0823
(303) 426-9581
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
(303) 426-9340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25750
CO
Other
Enumeration date
01/09/2008
Last updated
07/01/2024
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