Healthone Clinic Services-Surgical Specialties LLC

NPI #1487284378 in La Jara, Colorado

Provider Information

NPI Number: 1487284378
Entity Type: Organization
Organization Name: Healthone Clinic Services-Surgical Specialties LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC
Primary Specialty: Surgery
Enumeration Date: Jan 21, 2020
Last Updated: Jan 21, 2020

Practice Location

Address: 416 MAIN ST
City: La Jara
State: Colorado
ZIP Code: 81140-5034
Phone: (719) 274-4500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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