ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS PLLC NPI 1710206792

NPI Information

NPI: 1710206792
Provider Name: ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
1338 PHAY AVE
ST. THOMAS MOORE
CANON CITY, CO
ZIP 81212
Phone: (303) 759-0854
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ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC is an emergency medical services emergency medicine in Canon City, CO. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. ROYAL GORGE EMERGENCY MEDICINE SPECIALISTS, PLLC NPI is 1710206792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1338 PHAY AVE
ST. THOMAS MOORE
CANON CITY, CO
ZIP 81212-302
Phone: (303) 759-0854
Fax: (303) 759-0864

The provider's authorized official is Hallet N. Watz .
The authorized official title is Md/ceo and has the following contact phone number (303) 759-0854.

The enumeration date for this NPI number is 5/31/2010 and was last updated on 1/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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