Pediatric Associates of Canon City, Prof LLC
Pediatric Associates of Canon City, Prof LLC is a Pediatric Adolescent Medicine Physician 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