Whalio Doctors

NPI 1003057456

Premier Ob-Gyn PLLC

Organisation Obstetrics & Gynecology Physician Thornton, CO

Practice location

Address
9195 Grant St Suite 400, Thornton, CO 80229-4385
Phone
(303) 854-3681
Fax
(303) 426-4154

Authorised official

Name
Stacey Hennesy
Title
MD
Phone
(303) 854-3681

Registered specialties

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 40865 (CO)

Registry record

NPI
1003057456
Entity type
Organization
NPI issued
16 Mar 2009
Record last updated
29 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.