Provider Demographics
NPI:1356966626
Name:PEDIATRICS OF STEAMBOAT SPRINGS, PC
Entity type:Organization
Organization Name:PEDIATRICS OF STEAMBOAT SPRINGS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-871-1900
Mailing Address - Street 1:940 CENTRAL PARK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8853
Mailing Address - Country:US
Mailing Address - Phone:970-871-1900
Mailing Address - Fax:970-870-3138
Practice Address - Street 1:168 SOUTH WALNUT STREET
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:CO
Practice Address - Zip Code:81639
Practice Address - Country:US
Practice Address - Phone:970-276-1900
Practice Address - Fax:970-870-3138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty