| Pence Pediatrics, PC | |
|
10 Rupert Street West Entrance Monte Vista CO 81144 | |
| (719) 852-3742 | |
| (719) 785-5741 |
| Full Name | Pence Pediatrics, PC |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10 Rupert Street, Monte Vista, Colorado |
| Authorized Official Name and Position | Mikaila Heldt Pence (PRESIDENT) |
| Authorized Official Contact | 7198523742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pence Pediatrics, PC 10 Rupert Street West Entrance Monte Vista CO 81144 Ph: (719) 852-3742 | Pence Pediatrics, PC 10 Rupert Street West Entrance Monte Vista CO 81144 Ph: (719) 852-3742 |
| NPI Number | 1518677020 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 11/25/2022 |
| Certification Date | 11/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518677020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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