| Crown Point Pediatrics | |
|
9235 Crown Crest Blvd Suite 100 Parker CO 80138-8880 | |
| (303) 695-7667 | |
| (303) 695-8146 |
| Full Name | Crown Point Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9235 Crown Crest Blvd, Parker, Colorado |
| Authorized Official Name and Position | David B. Roos (PRESIDENTT) |
| Authorized Official Contact | 3036957667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Point Pediatrics 9235 Crown Crest Blvd Suite 100 Parker CO 80138-8880 Ph: (303) 695-7667 | Crown Point Pediatrics 9235 Crown Crest Blvd Suite 100 Parker CO 80138-8880 Ph: (303) 695-7667 |
| NPI Number | 1043633647 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043633647 | NPI | - | NPPES |
| 04009304 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 433 (Colorado) | Primary |
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