Organization
ASSOCIATES OF OTOLARYNGOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCE MOCK (CEO)
(303) 744-1961
Entity
Organization
Contact information
Practice address
850 E HARVARD AVE, STE # 505, DENVER, CO 80210-5073
(303) 744-1961
(303) 744-1110
Mailing address
850 E HARVARD AVE, STE # 505, DENVER, CO 80210-5073
(303) 744-1961
(303) 744-1110
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04957080
—
CO
Enumeration date
04/20/2007
Last updated
06/27/2011
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