NPI 1063475788

River Valley Pediatrics, PC

Organisation Pediatrics Physician Canon City, CO

Practice location

Address: 1335 Phay Ave, Canon City, CO 81212-2334
Phone: (719) 276-2222
Fax: (719) 276-9199
Mailing address: 1335 Phay Ave, Canon City, CO 81212-2349

Authorised official

Name: Paul T Dube'
Title: M.D.
Phone: (719) 276-2222

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Colorado →

Registry record

NPI: 1063475788
Entity type: Organization
NPI issued: 11 Apr 2006
Record last updated: 20 Aug 2010

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.