OrganizationActive
Lil Buckaroo Pediatrics
NPI 1780429472 · Primary Care Clinic/Center · Fowler, CO
Provider details
- NPI number
- 1780429472
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Salbato, Pediatric Nurse Practitioner(719) 253-2555
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
402 W US Highway 50
Fowler, CO 81039-9752
Phone: (719) 253-2555
Approximate (ZIP-level) locationGet directions
Mailing address
65200 Stroud Rd
Boone, CO 81025-9617
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.