# HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC

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

## Provider details

- **NPI number:** 1114331006
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (855) 689-5105

## Contact information

- **Practice address:** 9399 CROWN CREST BLVD STE 430, PARKER, CO 80138-8527
- **Practice address phone:** (303) 269-2310
- **Practice address fax:** (303) 269-2319
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1114331006 | NPI | CO |
| 05 | — | 35233559 | — | CO |