NPI 1093986986

Western Otolaryngology

Organisation Otolaryngology/Facial Plastic Surgery Physician Wheat Ridge, CO

Practice location

Address: 3550 Lutheran Pkwy W STE 102, Wheat Ridge, CO 80033-6013
Phone: (303) 425-0449
Mailing address: 3550 Lutheran Pkwy W STE 102 B, Wheat Ridge, CO 80033-6013

Authorised official

Name: Carla Fetzer
Title: Office Manager
Phone: (303) 425-0449

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 19871416289 (CO)

Other Otolaryngology providers in Colorado →

Registry record

NPI: 1093986986
Entity type: Organization
NPI issued: 18 Mar 2008
Record last updated: 23 Jun 2009

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.