Organization
SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI HOOTEN (PRACTICE ADMINSTRATOR)
(970) 221-5878
Entity
Organization
Contact information
Practice address
2315 E HARMONY RD, REDSTONE BLDG. SUITE 130, FORT COLLINS, CO 80528-8620
(970) 221-5878
(970) 221-3564
Mailing address
2315 E HARMONY RD, REDSTONE BLDG. SUITE 130, FORT COLLINS, CO 80528-8620
(970) 221-5878
(970) 221-3564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84077271
—
CO
Enumeration date
05/03/2006
Last updated
04/27/2009
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