# HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053981902
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 1950 MOUNTAIN VIEW AVE, 4 WEST, LONGMONT, CO 80501
- **Practice address phone:** (720) 652-8850
- **Practice address fax:** (720) 652-8856
- **Mailing address:** PO BOX 645743, CINCINNATI, OH 45264-6018
- **Mailing address phone:** (855) 689-5105
- **Mailing address fax:** (904) 446-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2021
- **Last updated:** 06/01/2023