MEDICARE: ZZAP PEDIATRICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831670983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZZAP PEDIATRICS, LLC

Provider Business Mailing Address
First Line	:	4650 SIGNAL TREE DR UNIT 400
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-4902
Country	:	US
Telephone Number	:	970-812-9277
Fax Number	:	970-999-8865

Provider Business Practice Location Address
First Line	:	4650 SIGNAL TREE DR UNIT 400
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-4902
Country	:	US
Telephone Number	:	970-812-9277
Fax Number	:	970-999-8865

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. AMANDA HARDING
Credential	:	MD
Telephone Number	:	970-812-9927

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	10/11/2025

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Directions to “ZZAP PEDIATRICS, LLC ” Practice Location

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