Organization · NPI-2
Healogics Specialty Physicians Of Colorado-Professional, LLC
Preventive Medicine, Undersea and Hyperbaric Medicine · Parker, CO
NPI number1114331006
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1114331006
- Entity type
- Organization (NPI-2)
- Legal business name
- Healogics Specialty Physicians Of Colorado-Professional, LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2014
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0011X | Preventive Medicine, Undersea and Hyperbaric Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 208600000X | Surgery | – | – | |
| 208D00000X | General Practice | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 364S00000X | Clinical Nurse Specialist | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
9399 Crown Crest Blvd Ste 430Parker, CO 80138-8527
Phone 303-269-2310 · Fax 303-269-2319
Mailing address
Po Box 645743Cincinnati, OH 45264-6018
Phone 855-689-5105 · Fax 904-446-3032
Authorized official
Frank Williams
Ceo
8556895105
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