Healthcare Provider Details

I. General information

NPI: 1790383883
Provider Name (Legal Business Name): AURORA PEDIATRIC ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 10/12/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5657 S HIMALAYA ST STE 100
CENTENNIAL CO
80015-5308
US

IV. Provider business mailing address

3300 S PARKER RD STE 404
AURORA CO
80014-3529
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-6200
  • Fax: 303-974-7175
Mailing address:
  • Phone: 303-699-6200
  • Fax: 303-974-7175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ALISON B AUSTER
Title or Position: PROVIDER
Credential: MD
Phone: 303-699-6200