Lil Buckaroo Pediatrics
Organization Active NPI Primary Care Clinic/Center · Fowler, CO
NPI 1780429472 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1780429472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- LIL BUCKAROO PEDIATRICS
- Practice address
- 402 W US Highway 50
Fowler, CO 81039-9752 - Phone
- (719) 253-2555
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Stephanie Salbato, CPNP
- Title
- Pediatric Nurse Practitioner
- Phone
- (719) 253-2555
Practitioners 1
-
Stephanie L Salbato, PNP
National Provider Directory
Locations
402 W US Highway 50
Fowler, CO 81039
Phone (719) 253-2555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
402 W US Highway 50
Fowler, CO 81039-9752
Mailing address
65200 Stroud Rd
Boone, CO 81025-9617
Other providers in Fowler, CO
- Alina Jolene Davis
- Kassidy Fleming-Bankston
- Fowler Health Care Center, Inc.
- Fowler Rural Fire Protection District
- Suzanne Perez Heckmann
- Cami Manchego
- Robert B Moorhead
- Gordon Ray
- Tri County Housing & CDC
- David L Walters
All providers in Fowler, CO · Primary Care Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.