Organization
COLORADO CHILDREN'S MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL WEINER M.D. (PRESIDENT)
(303) 369-6977
Entity
Organization
Contact information
Practice address
9397 CROWN CREST BLVD, SUITE 211, PARKER, CO 80138-8575
(303) 369-6977
(303) 369-1909
Mailing address
9397 CROWN CREST BLVD, SUITE 211, PARKER, CO 80138-8575
(303) 369-6977
(303) 369-1909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38062
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55003371
—
CO
05
—
58985581
—
CO
Enumeration date
04/07/2006
Last updated
01/03/2017
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