NPI 1306503446

Klarisana Physician Services PLLC

Organisation General Practice Physician Longmont, CO

Practice location

Address: 916 S Main St Unit 208, Longmont, CO 80501-6617
Phone: (210) 556-1430
Fax: (888) 504-2390
Mailing address: 8600 Wurzbach Rd STE 1110, San Antonio, TX 78240-4334

Authorised official

Name: Alyssa Soto
Title: Administrative Director
Phone: (210) 556-1430

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Registry record

NPI: 1306503446
Entity type: Organization
NPI issued: 23 Nov 2021
Record last updated: 23 Nov 2021

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.