Organization · NPI-2

4344 Woodlands Blvd 240 LLC

Otolaryngology, Otology & Neurotology · Castle Rock, CO

NPI number1295592723
StatusActive
Last updated in NPPESMay 1, 2024

Details

NPI
1295592723
Entity type
Organization (NPI-2)
Legal business name
4344 Woodlands Blvd 240 LLC
Organization subpart
No
Enumeration date
Mar 1, 2024
Certification date
May 1, 2024
Last updated
May 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0901X Otolaryngology, Otology & Neurotology––Yes
231H00000X Audiologist––

Other names

  • Castle Rock Ear Associates (Doing Business As)

Practice location

4344 Woodlands Blvd Ste 240
Castle Rock, CO 80104-2801

Phone 720-408-9118 · Fax 720-547-9180

Mailing address

4344 Woodlands Blvd Ste 240
Castle Rock, CO 80104-2801

Phone 720-408-9118 · Fax 720-547-9180

Authorized official

Allison Hegarty
Practice Manager
7204089118

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