Western Otolaryngology
NPI #1093986986 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1093986986
- Entity Type
- Organization
- Organization Name
- Western Otolaryngology
- Primary Specialty
- Otolaryngology - Otolaryngology/Facial Plastic Surgery
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Jun 23, 2009
Practice Location
- Address
- 3550 LUTHERAN PKWY W
- Address 2
- STE 102
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-6013
- Phone
- (303) 425-0449
Authorized Official
- Name
- CARLA FETZER
- Title
- OFFICE MANAGER
- Phone
- (303) 425-0449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery |
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