Havens Family Clinic
NPI #1619011830 in Canon City, Colorado
Provider Information
- NPI Number
- 1619011830
- Entity Type
- Organization
- Organization Name
- Havens Family Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 19, 2007
- Last Updated
- Mar 23, 2012
Practice Location
- Address
- 109 LATIGO LN
- Address 2
- SUITE C
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-8112
- Phone
- (719) 276-3211
Authorized Official
- Name
- JASON MORGAN, PA
- Title
- OFFICE MANAGER
- Phone
- (719) 276-3211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Family Medicine |
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