Organization
LIL BUCKAROO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SALBATO CPNP (PEDIATRIC NURSE PRACTITIONER)
(719) 253-2555
Entity
Organization
Contact information
Practice address
402 W US HIGHWAY 50, FOWLER, CO 81039-9752
(719) 253-2555
Mailing address
65200 STROUD RD, BOONE, CO 81025-9617
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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