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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC

Active Organization

PEDIATRIC ASSOCIATES OF CANON CITY, PROF. LLC is a Adolescent Medicine (Pediatrics) organization located in CANON CITY, Colorado. NPI 1457498131 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · CANON CITY, CO

Registration Details

NPI Number
1457498131
Provider Type
Organization
NPI Issued
Jan 31, 2007 (19.565107195145 yrs)
Last Updated
Aug 22, 2020
License
23117 (CO)

Practice Information

Address
1335 PHAY AVE
SUITE A
CANON CITY, CO, 812122334
Browse CO providers · Browse ZIP 81212
Phone
7192691727
Fax
7192691730
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Organizations in CANON CITY, CO

Name NPI
ROGER D. NOLAND 1477608826
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.