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Organization
KLARISANA PHYSICIAN SERVICES PLLC
Active
Organization
KLARISANA PHYSICIAN SERVICES PLLC
Active
Parent organization
KLARISANA PHYSICIAN SERVICES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KLARISANA PHYSICIAN SERVICES PLLC
Authorized official
DR. CARL JOHN BONNETT MD (MEDICAL DIRECTOR)
(303) 535-7548
Entity
Organization
Contact information
Practice address
9195 GRANT ST STE 130, THORNTON, CO 80229-4348
(303) 535-7548
Mailing address
PO BOX 736403, DALLAS, TX 75373-6403
(303) 535-7548
(888) 504-2390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/20/2020
Last updated
10/06/2026
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