Pediatric Associates Of Canon City, Prof. Llc

  • 1457498131 NPI Number
  • |
  • Actived: 17 years ago
  • |
Pediatric Associates Of Canon City, Prof. Llc is a health care provider based in Canon City, CO. The NPI Number is 1457498131 and it has been active since 17 years ago. The specialty is Adolescent Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Adolescent Medicine services, Pediatric Associates Of Canon City, Prof. Llc is an excellent option. We are here to help you get the care you need.

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Overview of Pediatric Associates Of Canon City, Prof. Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/31/2007
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 2080A0000X
  • Specialty: Adolescent Medicine
  • License Number: 23117
  • License State: CO

Provider Mailing Address

  • Address: 1335 Phay Ave
    Suite A
    Canon City, CO 81212
  • Phone: 719-269-1727
  • Fax: 719-269-1730

Provider Practice Location

  • Address: 1335 Phay Ave
    Suite A
    Canon City, CO 81212
  • Phone: 719-269-1727
  • Fax: 719-269-1730

Authorized Official

  • Name: MR. Roger Deane Noland
  • Position/Title: General Manager
  • Telephone Number: 719-269-1727

Scope of Practice

  • Taxonomy Code: 2080A0000X
  • Specialty: Adolescent Medicine
  • License Number: 23117
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 01271139
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Pediatric Associates Of Canon City, Prof. Llc?
  • A: The npi number for Pediatric Associates Of Canon City, Prof. Llc is 1457498131.
  • Q: What are Pediatric Associates Of Canon City, Prof. Llc's specialties?
  • A: Pediatric Associates Of Canon City, Prof. Llc's specialties are Adolescent Medicine and different specialities.
  • Q: Where is Pediatric Associates Of Canon City, Prof. Llc business practice location?
  • A: Pediatric Associates Of Canon City, Prof. Llc business practice location is 1335 Phay Ave, Canon City, CO 81212.
  • Q: How to contact Pediatric Associates Of Canon City, Prof. Llc?
  • A: You can contact Pediatric Associates Of Canon City, Prof. Llc via 719-269-1727.
  • Q: What is the authorized official for Pediatric Associates Of Canon City, Prof. Llc?
  • A: The authorized office name is MR. Roger Deane Noland with position/title is General Manager and you can reach the authorized official via phone number 7192691727.