Organization
COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC
Active
Other names
Colorado ENT & Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WATSON (CHIEF EXECUTIVE OFFICER)
(719) 867-7800
Entity
Organization
Contact information
Practice address
1235 LAKE PLAZA DR STE 218, COLORADO SPRINGS, CO 80906-3556
(719) 867-7800
Mailing address
PO BOX 9190, COLORADO SPRINGS, CO 80932-0190
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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