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“Pediatrics Physician” (Peterson Afb, CO)

Location: Peterson Afb, CO
Taxonomy: Pediatrics Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1386030476 — DR. JOHN MARK BOUCHILLON M.D.
Practice Location Address:
559 VINCENT ST ATTN: 21 HCOS/SGOC - PEDIATRICS
PETERSON AFB CO
80914-1540
Practice Phone: 719-556-1197
1891929972 — DR. MATTHEW SEAN MCDONOUGH M.D.
Practice Location Address:
559 VINCENT ST ATTN 21MDOS/SGOC - PEDIATRICS
PETERSON AFB CO
80914-1541
Practice Phone: 719-556-1197

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