NPI 1013114230

Front Range Otolaryngology & Facial Plastic Surgery PC

Organisation Specialist Longmont, CO

Practice location

Address: 1325 Dry Creek Dr Suite 103, Longmont, CO 80503-7731
Phone: (720) 494-9111
Fax: (720) 494-9555

Authorised official

Name: Kevin C Cavanaugh
Title: Owner MD
Phone: (720) 494-9111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 207YS0123X (CO)

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Registry record

NPI: 1013114230
Entity type: Organization
NPI issued: 29 Jun 2007
Record last updated: 24 May 2016

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.