| Klarisana Physician Services Pllc | |
|
916 S Main St Unit 208 Longmont CO 80501-6617 | |
| (210) 556-1430 | |
| (888) 504-2390 |
| Full Name | Klarisana Physician Services Pllc |
|---|---|
| Speciality | General Practice |
| Location | 916 S Main St Unit 208, Longmont, Colorado |
| Authorized Official Name and Position | Alyssa Soto (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2105561430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klarisana Physician Services Pllc 8600 Wurzbach Rd Ste 1110 San Antonio TX 78240-4334 Ph: (210) 556-1430 | Klarisana Physician Services Pllc 916 S Main St Unit 208 Longmont CO 80501-6617 Ph: (210) 556-1430 |
| NPI Number | 1306503446 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306503446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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