| Lil Buckaroo Pediatrics | |
|
402 W Us Highway 50 Fowler CO 81039-9752 | |
| (719) 253-2555 | |
| Not Available |
| Full Name | Lil Buckaroo Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 402 W Us Highway 50, Fowler, Colorado |
| Authorized Official Name and Position | Stephanie Salbato (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 7192532555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lil Buckaroo Pediatrics 65200 Stroud Rd Boone CO 81025-9617 Ph: () - | Lil Buckaroo Pediatrics 402 W Us Highway 50 Fowler CO 81039-9752 Ph: (719) 253-2555 |
| NPI Number | 1780429472 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780429472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |