Front Range Otolaryngology & Facial Plastic Surgery Pc in Longmont - Specialist

Front Range Otolaryngology & Facial Plastic Surgery Pc - NPI 1013114230

Front Range Otolaryngology & Facial Plastic Surgery Pc is a Specialist in Longmont, Colorado. Front Range Otolaryngology & Facial Plastic Surgery Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Front Range Otolaryngology & Facial Plastic Surgery Pc is 1013114230. The last update date is 2016-05-24.

Front Range Otolaryngology & Facial Plastic Surgery Pc's current location address is 1325 Dry Creek Dr, Longmont, Colorado. You can contact this provider via phone number 7204949111 and fax number 7204949555. The mailing address for Front Range Otolaryngology & Facial Plastic Surgery Pc is 1325 Dry Creek Dr, Longmont, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Front Range Otolaryngology & Facial Plastic Surgery Pc
Address 1325 Dry Creek Dr, Longmont, Colorado
Phone Number 7204949111
Fax Number 7204949555
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER MD
Authorized Official Name Cavanaugh C Kevin
Credentials MD
Telephone Number 7204949111

NPI Number Detail

NPI Number 1013114230
Provider Enumeration Date 2007-06-29
Last Updated Date 2016-05-24

Provider Mailing Address Detail

Address 1325 Dry Creek Dr
City Longmont
State Colorado (CO)
Post Code 805037731
Phone Number 7204949111
Fax Number 7204949555

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 207YS0123X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
91282888 CO --
94320381 CO --

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FAQs about Front Range Otolaryngology & Facial Plastic Surgery Pc

What is the unique 10-digit identification code assigned to Front Range Otolaryngology & Facial Plastic Surgery Pc by the Centers for Medicare & Medicaid Services?

The Front Range Otolaryngology & Facial Plastic Surgery Pc has been issued the NPI (National Provider Identifier) 1013114230, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Front Range Otolaryngology & Facial Plastic Surgery Pc's physical address?

The Front Range Otolaryngology & Facial Plastic Surgery Pc is physically located at 1325 Dry Creek Dr, in the city of Longmont, CO, with the postal code 805037731.

What is Front Range Otolaryngology & Facial Plastic Surgery Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Front Range Otolaryngology & Facial Plastic Surgery Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did Front Range Otolaryngology & Facial Plastic Surgery Pc receive its 1013114230 assignment from the Centers for Medicare & Medicaid Services?

The Front Range Otolaryngology & Facial Plastic Surgery Pc was assigned its 1013114230 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Front Range Otolaryngology & Facial Plastic Surgery Pc most recently updated?

The details pertaining to the Front Range Otolaryngology & Facial Plastic Surgery Pc, including its address, specialty, and other relevant information, were last refreshed on 2016-05-24.

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