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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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