Organization
CRANIOFACIAL PAIN AND SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HARVEY KELLER DDS,MPS (PRESIDENT)
(970) 484-0250
Entity
Organization
Contact information
Practice address
2627 REDWING RD, SUITE 300, FORT COLLINS, CO 80526-6321
(970) 484-0250
(970) 484-1522
Mailing address
2627 REDWING RD, SUITE 300, FORT COLLINS, CO 80526-6321
(970) 484-0250
(970) 484-1522
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
04/18/2011
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