Loma Vista Surgery Pc in La Junta - Surgery

Loma Vista Surgery Pc - NPI 1942298138

Loma Vista Surgery Pc is a Surgery in La Junta, Colorado. Loma Vista Surgery Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Loma Vista Surgery Pc is 1942298138. The last update date is 2020-08-22.

Loma Vista Surgery Pc's current location address is 2201 San Juan Ave, La Junta, Colorado. You can contact this provider via phone number 7193848181 and fax number 7193844872. The mailing address for Loma Vista Surgery Pc is 2201 San Juan Ave, La Junta, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Loma Vista Surgery Pc
Address 2201 San Juan Ave, La Junta, Colorado
Phone Number 7193848181
Fax Number 7193844872
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gay E Kent
Credentials MD
Telephone Number 7193848181

NPI Number Detail

NPI Number 1942298138
Provider Enumeration Date 2005-10-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2201 San Juan Ave
City La Junta
State Colorado (CO)
Post Code 810503323
Phone Number 7193848181
Fax Number 7193844872

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 21632
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4108080 CO --

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FAQs about Loma Vista Surgery Pc

What is the unique 10-digit identifier code assigned to Loma Vista Surgery Pc by the Centers for Medicare & Medicaid Services?

The Loma Vista Surgery Pc has been issued the NPI (National Provider Identifier) 1942298138 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Loma Vista Surgery Pc's facilities are situated?

The facilities of Loma Vista Surgery Pc are physically located at the following address: 2201 San Juan Ave, La Junta, CO, 810503323.

What is Loma Vista Surgery Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Loma Vista Surgery Pc is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942298138 to Loma Vista Surgery Pc?

The Centers for Medicare & Medicaid Services originally issued the 1942298138 to Loma Vista Surgery Pc on 2005-10-11.

When was the information related to Loma Vista Surgery Pc most recently updated or refreshed?

The details pertaining to the Loma Vista Surgery Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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