Healthone Clinic Services - Pediatric Specialties LLC

NPI #1104431196 in Lone Tree, Colorado

Provider Information

NPI Number: 1104431196
Entity Type: Organization
Organization Name: Healthone Clinic Services - Pediatric Specialties LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Primary Specialty: Pediatrics
Enumeration Date: Sep 15, 2020
Last Updated: Sep 15, 2020

Practice Location

Address: 10101 RIDGEGATE PKWY
City: Lone Tree
State: Colorado
ZIP Code: 80124-5522
Phone: (720) 225-1000

Authorized Official

Name: WILLIAM M SMITHAM
Title: VICE PRESIDENT
Phone: (303) 584-8119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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