OrganizationActive
Pediatric Associates Prof LLC
NPI 1033614334 · Pediatric Adolescent Medicine Physician · Montrose, CO
Provider details
- NPI number
- 1033614334
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pediatric Associates Prof LLC
- Organization subpart
- Yes
- Authorized official
- Amber Hickert, Practice Administrator(970) 249-2421
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
910 S 4th St
Montrose, CO 81401-4226
Phone: (970) 249-2421
Fax: (970) 249-1203
Approximate (ZIP-level) locationGet directions
Mailing address
947 S 5th St
Montrose, CO 81401-5716
Other names (DBA / former)
- Doing business as
- Teen Care Center
- Doing business as
- Teen Care Center
Registry dates
- Enumerated
- 2018-03-28
- Last updated
- 2018-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.