NPI 1679658322 · live from the CMS NPI Registry
Callie G. Black, MD
Pediatrics in Denver, CO. National Provider Identifier 1679658322, active.
NPI record
| NPI | 1679658322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 10400 E Alameda Ave, Denver, CO 80247 |
| Practice phone | 303-338-4545 |
| Mailing address | 10350 E Dakota Ave, Denver, CO 80247 |
| Enumerated | October 25, 2006 |
| Last updated | June 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | DR.0042742 (CO) |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 42742 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.