Pediatric Associates of Canon City, Prof LLC
Pediatric Associates of Canon City, Prof LLC provides Pediatric Adolescent Medicine Physician services in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2007.
- Licensed in
- CO
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1335 Phay Ave Ste ACanon City, CO 81212-2334
Phone: (719) 269-1727
Fax: (719) 269-1730
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence 23117 (CO) |
|---|
Record details
| NPI number | 1457498131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Noland — General Manager · (719) 269-1727 |
| NPI enumerated | January 31, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1335 Phay Ave, Suite A, Canon City, CO 81212-2334 |
Other providers in Canon City
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Roger D. Noland
1335 Phay Ave Ste A, Canon City, CO 81212-2334 · (719) 269-1727