Organization
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Active
Parent organization
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Authorized official
WILLIAM M SMITHAM (VICE PRESIDENT)
(303) 584-8119
Entity
Organization
Contact information
Practice address
180 S FRONTAGE RD W, VAIL, CO 81657-5038
(970) 479-7264
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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