FRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC is a specialist in Longmont, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC NPI is 1013114230. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1325 DRY CREEK DR
SUITE 103
LONGMONT, CO
ZIP 80503-731
Phone: (720) 494-9111
Fax: (720) 494-9555
The provider's authorized official is Kevin C Cavanaugh .
The authorized official title is Owner Md and has the following contact phone number (720) 494-9111.
The CLIA number assigned to this NPI record is 06D0994942 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/29/2007 and was last updated on 5/24/2016.