| Trauma And Emergency Subspecialty Surgeons Pllc | |
|
1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 | |
| (303) 774-1974 | |
| Not Available |
| Full Name | Trauma And Emergency Subspecialty Surgeons Pllc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1745 Shea Center Dr, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Brian J Willoughby (SOLE OWNER) |
| Authorized Official Contact | 3033205700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Emergency Subspecialty Surgeons Pllc 1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 Ph: (303) 774-1974 | Trauma And Emergency Subspecialty Surgeons Pllc 1745 Shea Center Dr Suite 400 Highlands Ranch CO 80129-1537 Ph: (303) 774-1974 |
| NPI Number | 1225588221 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225588221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 40115 (Colorado) | Primary |
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