Organization
PEDIATRIC ASSOCIATES PROF LLC
Active
Parent organization
PEDIATRIC ASSOCIATES PROF LLC
Other names
Delta Office Pediatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC ASSOCIATES PROF LLC
Authorized official
AMBER HICKERT (PRACTICE ADMINISTRATOR)
(970) 249-2421
Entity
Organization
Contact information
Practice address
242 COTTONWOOD ST STE 101, DELTA, CO 81416-4404
(970) 874-7552
(970) 874-7554
Mailing address
947 S 5TH ST, MONTROSE, CO 81401-5716
(970) 249-2421
(970) 249-1203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
11/09/2023
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