1710206792 NPI number — ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC

Table of content: (NPI 1710206792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710206792 NPI number — ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710206792
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1241 W MINERAL AVE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80120-5685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-759-0854
Provider Business Mailing Address Fax Number:
303-759-0864

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1338 PHAY AVE
Provider Second Line Business Practice Location Address:
ST. THOMAS MOORE
Provider Business Practice Location Address City Name:
CANON CITY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81212-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-759-0854
Provider Business Practice Location Address Fax Number:
303-759-0864
Provider Enumeration Date:
05/31/2010

Additional Information

Authorized Official

Authorized Official Last Name:
WATZ
Authorized Official First Name:
HALLET
Authorized Official Middle Name:
N.
Authorized Official Title or Position:
MD/CEO
Authorized Official Telephone Number:
303-759-0854

Provider Taxonomy Codes

  • Taxonomy code: 207PE0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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