Provider Demographics
NPI:1649515370
Name:LITTLE WOMEN PEDIATRIC & ADOLESCENT GYNECOLOGY PLLC
Entity type:Organization
Organization Name:LITTLE WOMEN PEDIATRIC & ADOLESCENT GYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-861-4480
Mailing Address - Street 1:2055 HIGH ST
Mailing Address - Street 2:SUITE #320
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5503
Mailing Address - Country:US
Mailing Address - Phone:303-861-4480
Mailing Address - Fax:303-861-4490
Practice Address - Street 1:2055 HIGH ST
Practice Address - Street 2:SUITE #320
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:303-861-4480
Practice Address - Fax:303-861-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0051641207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty