NPI 1225588221
Trauma and Emergency Subspecialty Surgeons PLLC
Practice location
- Address
- 1745 Shea Center Dr Suite 400, Highlands Ranch, CO 80129-1537
- Phone
- (303) 774-1974
Authorised official
- Name
- Brian J Willoughby
- Title
- Sole Owner
- Phone
- (303) 320-5700
Registered specialties (2)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Surgery (Dentist)
Registry record
- NPI
- 1225588221
- Entity type
- Organization
- NPI issued
- 13 Oct 2016
- Record last updated
- 13 Oct 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.