Healthcare Provider Details
I. General information
NPI: 1750379079
Provider Name (Legal Business Name): CHILD FIRST PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7336 S YOSEMITE ST STE. 200
CENTENNIAL CO
80112-2337
US
IV. Provider business mailing address
7336 S YOSEMITE ST STE. 200
CENTENNIAL CO
80112-2337
US
V. Phone/Fax
- Phone: 303-770-0726
- Fax: 303-770-1342
- Phone: 303-770-0726
- Fax: 303-770-1342
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MURRAY
CAPLAN
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 303-770-0726