Organization
ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLET N. WATZ MD (MD/CEO)
(303) 759-0854
Entity
Organization
Contact information
Practice address
1338 PHAY AVE, ST. THOMAS MOORE, CANON CITY, CO 81212-2302
(303) 759-0854
(303) 759-0864
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/31/2010
Last updated
01/14/2011
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