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NPI Code Detail

MEDICARE: HEALTHONE CLINIC SERVICES LLC

MEDICARE: HEALTHONE CLINIC SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1922089333
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHONE CLINIC SERVICES LLC
Provider Business Mailing Address
First Line : 720 S COLORADO BLVD
Second Line : SUITE 220A
City : GLENDALE
State : CO
Zip : 80246-1912
Country : US
Telephone Number : 303-584-8000
Fax Number : 303-584-8000
Provider Business Practice Location Address
First Line : 1719 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1235
Country : US
Telephone Number : 303-869-2484
Fax Number : 303-839-6369
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM KING
Credential :
Telephone Number : 303-584-8000
Provider Enumeration Date : 11/11/2005
Last Update Date : 05/14/2008

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Directions to “HEALTHONE CLINIC SERVICES LLC ” Practice Location

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