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Organization
TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC
Active
Organization
TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILLOUGHBY M.D. (SOLE OWNER)
(303) 320-5700
Entity
Organization
Contact information
Practice address
1745 SHEA CENTER DR, SUITE 400, HIGHLANDS RANCH, CO 80129-1537
(303) 774-1974
Mailing address
1745 SHEA CENTER DR STE 400, HIGHLANDS RANCH, CO 80129-1540
(720) 300-9245
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
CO
Other
Enumeration date
06/21/2012
Last updated
03/07/2023
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