Front Range Otolaryngology & Facial Plastic Surgery PC

NPI #1013114230 in Longmont, Colorado

Provider Information

NPI Number: 1013114230
Entity Type: Organization
Organization Name: Front Range Otolaryngology & Facial Plastic Surgery PC
Primary Specialty: Specialist
Enumeration Date: Jun 29, 2007
Last Updated: May 24, 2016

Practice Location

Address: 1325 DRY CREEK DR
Address 2: SUITE 103
City: Longmont
State: Colorado
ZIP Code: 80503-7731
Phone: (720) 494-9111

Authorized Official

Name: DR. KEVIN C CAVANAUGH, MD
Title: OWNER MD
Phone: (720) 494-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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