Organization
COMMUNITY SPECIALTY GROUP LLC
Active
Other names
Grand Valley ENT & Facial Plastic Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN THOMAS (PRESIDENT/CEO)
(970) 644-3011
Entity
Organization
Contact information
Practice address
2373 G RD STE 270, GRAND JCT, CO 81505-1006
(970) 644-3800
(970) 644-3946
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 644-3800
(970) 644-3946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/07/2022
Last updated
11/29/2022
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