Healthone Clinic Services - Pediatric Specialties LLC
Pediatrics in Glenwood Springs, CO. Organization (NPI-2).
NPI number1164038840
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164038840
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthone Clinic Services - Pediatric Specialties LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 18, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
1906 Blake AveGlenwood Springs, CO 81601-4227
Phone 970-384-6736
Mailing address
2000 Health Park DrBrentwood, TN 37027-4525
Phone 615-372-5426
Authorized official
William M Smitham
Vice President
3035848119
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