Organization
TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILLOUGHBY M.D. (SOLE OWNER)
(303) 320-5700
Entity
Organization
Contact information
Practice address
1745 SHEA CENTER DR, SUITE 400, HIGHLANDS RANCH, CO 80129-1537
(303) 774-1974
Mailing address
1745 SHEA CENTER DR STE 400, HIGHLANDS RANCH, CO 80129-1540
(720) 300-9245
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
CO
Other
Enumeration date
06/21/2012
Last updated
03/07/2023
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