OrganizationActive
Pediatric and Adolescent Center
NPI 1235353087 · Pediatric Adolescent Medicine Physician · Denver, CO
Provider details
- NPI number
- 1235353087
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Philip Lewis, Owner
- License
- 12100 (CO)
Practice location
3400 S Oneida Way
Suite 101
Denver, CO 80224-2850
Phone: (303) 758-0005
Fax: (303) 756-8077
Mailing address
3400 S Oneida Way
Denver, CO 80224-2850
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2008-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.