| Healthone Clinic Services - Pediatric Specialties Llc | |
|
1905 Blake Ave Ste 201 Glenwood Springs CO 81601-4286 | |
| (303) 226-7459 | |
| Not Available |
| Full Name | Healthone Clinic Services - Pediatric Specialties Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1905 Blake Ave Ste 201, Glenwood Springs, Colorado |
| Authorized Official Name and Position | William M Smitham (VICE PRESIDENT) |
| Authorized Official Contact | 3035848119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Clinic Services - Pediatric Specialties Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-5426 | Healthone Clinic Services - Pediatric Specialties Llc 1905 Blake Ave Ste 201 Glenwood Springs CO 81601-4286 Ph: (303) 226-7459 |
| NPI Number | 1659041929 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659041929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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