# HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC

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

## Provider details

- **NPI number:** 1114559572
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 11600 W 2ND PL, LAKEWOOD, CO 80228-1527
- **Practice address phone:** (719) 562-6110
- **Practice address fax:** (719) 562-6111
- **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:** 02/04/2020
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 35233559 | — | CO |
| 05 | — | 49720252 | — | CO |