Organization
AGGIE PEDIATRICS, LLC
Active
Other names
The Children's Health Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABE HERRERA JR. (PRESIDENT)
(970) 356-2600
Entity
Organization
Contact information
Practice address
1610 29TH AVENUE PL STE 101, GREELEY, CO 80634-6800
(970) 356-2600
(970) 356-2633
Mailing address
1610 29TH AVENUE PL STE 101, GREELEY, CO 80634-6800
(970) 356-2600
(970) 356-2633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324128
—
CO
Enumeration date
12/27/2018
Last updated
12/27/2018
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