Organization
PEDIATRIC ASSOCIATES PROF LLC
Active
Parent organization
PEDIATRIC ASSOCIATES PROF LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES PROF LLC
Authorized official
MRS. AMBER HICKERT (PRACTICE ADMINISTRATOR)
(970) 249-2421
Entity
Organization
Contact information
Practice address
947 S 5TH ST, MONTROSE, CO 81401-5716
(970) 249-2421
(855) 638-4966
Mailing address
947 S 5TH ST, MONTROSE, CO 81401-5716
(970) 249-2421
(855) 638-4966
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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