Organization
CHILDRENS MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON OHARA (OFFICE MANAGER)
(303) 830-7337
Entity
Organization
Contact information
Practice address
1625 MARION ST, DENVER, CO 80218-1514
(303) 830-7337
Mailing address
1625 MARION ST, DENVER, CO 80218-1514
(303) 830-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351857
—
CO
Enumeration date
02/13/2007
Last updated
08/22/2020
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