Organization
CENTENNIAL PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE KUNTZ STANFORD MD (PHYSICIAN)
(303) 680-5437
Entity
Organization
Contact information
Practice address
15464 E. ORCHARD ROAD, CENTENNIAL, CO 80016
(303) 680-5437
Mailing address
15464 E. ORCHARD ROAD, CENTENNIAL, CO 80016
(303) 680-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29303559
—
CO
Enumeration date
03/10/2008
Last updated
03/10/2008
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