# TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC

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

## Provider details

- **NPI number:** 1225588221
- **Authorized official:** MR. BRIAN J WILLOUGHBY M.D. (SOLE OWNER)
- **Authorized official phone:** (303) 320-5700

## Contact information

- **Practice address:** 1745 SHEA CENTER DR, SUITE 400, HIGHLANDS RANCH, CO 80129-1537
- **Practice address phone:** (303) 774-1974
- **Mailing address:** 1745 SHEA CENTER DR, SUITE 400, HIGHLANDS RANCH, CO 80129-1537
- **Mailing address phone:** (303) 774-1974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 40115 | CO | Yes |

## Other

- **Enumeration date:** 10/13/2016
- **Last updated:** 10/13/2016