Provider Demographics
NPI:1598433401
Name:ARVADA PEDIATRIC ASSOCIATES, PC
Entity Type:Organization
Organization Name:ARVADA PEDIATRIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-421-6873
Mailing Address - Street 1:3830 W 121ST PL
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7921
Mailing Address - Country:US
Mailing Address - Phone:303-410-8041
Mailing Address - Fax:303-410-8044
Practice Address - Street 1:3830 W 121ST PL
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7921
Practice Address - Country:US
Practice Address - Phone:303-410-8041
Practice Address - Fax:303-410-8044
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARVADA PEDIATRIC ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty