institution
Colorado Center For Otolaryngology, Professional Llc
Otolaryngology/Facial Plastic Surgery Physician in Colorado Springs, Colorado
NPI 1164421582

Colorado Center For Otolaryngology, Professional Llc is a Otolaryngology/Facial Plastic Surgery Physician based in Colorado Springs, CO and is specialized in Otolaryngology/Facial Plastic Surgery. Colorado Center For Otolaryngology, Professional Llc practices in Colorado Springs, CO. The NPI Number for Colorado Center For Otolaryngology, Professional Llc is 1164421582 and holds a License No. BC2020422 (Colorado).

The current practice location address for Colorado Center For Otolaryngology, Professional Llc is 3920 N Union Blvd, Colorado Springs, CO and can be reached out via phone at 719-574-6653 and via fax at 719-574-2778. You can also correspond with Colorado Center For Otolaryngology, Professional Llc through the mailing address at 3920 N UNION BLVD, COLORADO SPRINGS, CO - 80907-4900 (mailing address contact number: 719-574-6653).

Location: 3920 N Union Blvd, Colorado Springs, CO, 80907-4900
institution
Provider Profile Details
NPI Number
1164421582
Provider Name
Colorado Center For Otolaryngology, Professional Llc
Credential
Provider Entity Type
Organization
Address
3920 N Union Blvd, Colorado Springs, CO, 80907-4900
Phone Number
719-574-6653
Fax Number
719-574-2778
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04020863 05 CO
institution
Provider Business Practice Location Address Details
Address
3920 N Union Blvd
City
State
Zip
80907-4900
Phone Number
719-574-6653
Fax Number
719-574-2778
person
Provider Business Mailing Address Details
Address
3920 N Union Blvd
City
State
Zip
80907-4900
Phone Number
719-574-6653
Fax Number
719-574-2778
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
BC2020422 (Colorado)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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