# ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC

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

## Provider details

- **NPI number:** 1710206792
- **Authorized official:** HALLET N. WATZ MD (MD/CEO)
- **Authorized official phone:** (303) 759-0854

## Contact information

- **Practice address:** 1338 PHAY AVE, ST. THOMAS MOORE, CANON CITY, CO 81212-2302
- **Practice address phone:** (303) 759-0854
- **Practice address fax:** (303) 759-0864
- **Mailing address:** 1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
- **Mailing address phone:** (303) 759-0854
- **Mailing address fax:** (303) 759-0864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2010
- **Last updated:** 01/14/2011