Provider Demographics
NPI:1710355052
Name:PINNACLE MEDICAL PARTNERS LLC
Entity Type:Organization
Organization Name:PINNACLE MEDICAL PARTNERS LLC
Other - Org Name:LONE TREE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-357-2559
Mailing Address - Street 1:8120 S HOLLY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4005
Mailing Address - Country:US
Mailing Address - Phone:303-779-3013
Mailing Address - Fax:303-779-0343
Practice Address - Street 1:7074 S REVERE PKWY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3932
Practice Address - Country:US
Practice Address - Phone:303-357-2559
Practice Address - Fax:888-488-8979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty