# INTEGRATED EAR, NOSE AND THROAT, P.C.

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

## Provider details

- **NPI number:** 1063624195
- **Authorized official:** DR. JOSEPH GONZALEZ MD (VICE PRESIDENT)
- **Authorized official phone:** (303) 706-1616

## Contact information

- **Practice address:** 9960 SKY RIDGE AVE, LONE TREE, CO 80124-5644
- **Practice address phone:** (303) 706-1616
- **Practice address fax:** (303) 706-0177
- **Mailing address:** 9960 SKY RIDGE AVE, LONE TREE, CO 80124-5644
- **Mailing address phone:** (303) 706-1616
- **Mailing address fax:** (303) 706-0177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/03/2022