Organization
PEDIATRICS AT THE MEADOWS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CLARK (PRACTICE MANAGER)
(303) 688-5226
Entity
Organization
Contact information
Practice address
3911 AMBROSIA ST STE 100, CASTLE ROCK, CO 80109-3887
(303) 688-5226
(303) 814-0717
Mailing address
3911 AMBROSIA ST STE 100, CASTLE ROCK, CO 80109-3887
(303) 688-5226
(303) 814-0717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98903314
—
CO
Enumeration date
03/12/2007
Last updated
02/28/2024
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