Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHEN (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
2643 PATTERSON RD STE 603, GRAND JUNCTION, CO 81506-1937
(800) 243-3839
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 234-3839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000210492
—
CO
Enumeration date
09/26/2022
Last updated
06/10/2024
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