Provider Demographics
NPI:1962585315
Name:PARKER PEDIATRICS AND ADOLESCENTS PC
Entity type:Organization
Organization Name:PARKER PEDIATRICS AND ADOLESCENTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-841-2905
Mailing Address - Street 1:10371 PARKGLENN WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3871
Mailing Address - Country:US
Mailing Address - Phone:303-841-2905
Mailing Address - Fax:303-841-3052
Practice Address - Street 1:10371 PARKGLENN WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3871
Practice Address - Country:US
Practice Address - Phone:303-841-2905
Practice Address - Fax:303-841-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty