NPI 1023234861

Pediatric Associates of Southern Colorado, LLC

Organisation Allergy & Immunology Physician Pueblo, CO

Practice location

Address: 1312 N Grand Ave, Pueblo, CO 81003-2718
Phone: (719) 544-2090
Fax: (719) 544-2094
Mailing address: 2020 Wadsworth Blvd Suite 13a, Lakewood, CO 80214-5728

Authorised official

Name: Pudupakkam K Vedanthan
Title: President
Phone: (303) 238-0471

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Colorado →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Colorado →

Registry record

NPI: 1023234861
Entity type: Organization
NPI issued: 18 Apr 2007
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.