| NPI | 1972733004 |
|---|---|
| Doing Business As | HEALTHONE HIGH STREET PRIMARY CARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN DWINNELL Director 303-869-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 26186) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: CO 26186) |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: CO 26186) | |
| 207V00000X Obstetrics & Gynecology (Licence: CO 26186) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CO 26186) | |
| 208000000X Pediatrics (Licence: CO 26186) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CO 26186) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2012-01-16 |