Healthone Clinic Services - Pediatric Specialties LLC
Psychiatry & Neurology, Neurology in Eagle, CO. Organization (NPI-2).
NPI number1417618646
StatusActive
Last updated in NPPESJan 10, 2022
Details
- NPI
- 1417618646
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthone Clinic Services - Pediatric Specialties LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 10, 2022
- Certification date
- Jan 6, 2022
- Last updated
- Jan 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
377 Sylvan Lake Rd Ste 110Eagle, CO 81631-6779
Phone 303-226-7459
Mailing address
2000 Health Park DrBrentwood, TN 37027-4692
Phone 615-372-5426
Authorized official
William M Smitham
Vice President
3035848119
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