Aspen Park Pediatrics, PC

Organization Active NPI Pediatrics Physician · Conifer, CO

NPI 1033377296 · NPPES record last updated May 23, 2008

Key facts

NPI
1033377296
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
29171 (CO)
Legal business name
ASPEN PARK PEDIATRICS, PC
Practice address
25797 Conifer Rd Ste B110
Conifer, CO 80433-9047
Phone
(303) 838-3355
Fax
(303) 838-8925
NPI assigned
May 23, 2008
Organization subpart
No

Authorized official

Name
Carol Turner, MD
Title
Owner
Phone
(303) 838-3355

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1025727Aspen Park Pediatrics, PC
25797 Conifer Road, Suite B110, Conifer, CO 80433
Certificate of waiverDec 11, 2027

National Provider Directory

Locations

25797 Conifer Rd
Ste B110
Conifer, CO 80433
Phone (303) 838-3355

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X 29171 CO Yes

Addresses

Primary practice location

25797 Conifer Rd Ste B110
Conifer, CO 80433-9047

Mailing address

25797 Conifer Rd Ste B110
Conifer, CO 80433-9047
Phone (303) 838-3355

Other identifiers

IdentifierTypeStateIssuer
00351873MedicaidCO

Other providers in Conifer, CO

All providers in Conifer, CO · Pediatrics Physician in Colorado

Sources for this page

Verify at the official NPI Registry.