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Organization

COLORADO WEST OTOLARYNGOLOGISTS PC

Active
Parent organization
COLORADO WEST OTOLARYNGOLOGISTS PC
Other names
Colorado West General Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLORADO WEST OTOLARYNGOLOGISTS PC
Authorized official
SANDY VALENTINE (CREDENTIALING)
(970) 245-2400
Entity
Organization

Contact information

Practice address
100 TESSITORE CT UNIT B, MONTROSE, CO 81401-5689
(970) 787-4710
(970) 615-4007
Mailing address
100 TESSITORE CT UNIT B, MONTROSE, CO 81401-5689
(970) 787-4710
(970) 615-4007

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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