Organization
AGGIE PEDIATRICS, LLC
Active
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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