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Organization

LONGS PEAK EMERGENCY PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERBERT G OGDEN MD (PRESIDENT)
(303) 651-5000
Entity
Organization

Contact information

Practice address
1950 WEST MOUNTAIN VIEW AVE., LONGMONT, CO 80501-3129
(303) 651-5000
(303) 306-7753
Mailing address
P.O. BOX 1175, ENGLEWOOD, CO 80150-2568
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48184268
CO
Enumeration date
11/23/2005
Last updated
12/18/2015
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