Provider First Line Business Practice Location Address:
810 EAST 3RD ST, SUITE #301
Provider Second Line Business Practice Location Address:
PEDIATRIC PARTNERS OF THE SOUTHWEST
Provider Business Practice Location Address City Name:
DURANGO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-375-0100
Provider Business Practice Location Address Fax Number:
970-375-9210
Provider Enumeration Date:
01/18/2006