NPI 1740543933
Trauma and Emergency Subspecialty Surgeons PLLC
Practice location
- Address
- 1745 Shea Center Dr Suite 400, Highlands Ranch, CO 80129-1537
- Phone
- (303) 774-1974
- Mailing address
- 1745 Shea Center Dr STE 400, Highlands Ranch, CO 80129-1540
Authorised official
- Name
- Brian Willoughby
- Title
- Sole Owner
- Phone
- (303) 320-5700
Registered specialties (4)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
Oral and Maxillofacial Surgery (Dentist)
Oral & Maxillofacial Surgery (D.M.D.)
Plastic Surgery Physician
Registry record
- NPI
- 1740543933
- Entity type
- Organization
- NPI issued
- 21 Jun 2012
- Record last updated
- 7 Mar 2023
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.