Win Hbo

NPI 1093945685 - Specialist - 174400000X

NPI Details
NPI 1093945685
Enumeration Date 07/17/2009
Last Updated 07/17/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KIRK DOUGLAS KIRK
Position CLINICAL DIRECTOR
Phone (970) 384-8447
Fax (970) 384-8480
Practice Location
1460 E VALLEY RD
104
BASALT CO, 81621-8411, US
Phone (970) 384-8447
Fax (970) 384-8480
Business Location
1460 E VALLEY RD
104
BASALT CO, 81621-8411, US
Phone (970) 384-8447
Fax (970) 384-8480
Toxanomy
Taxonomy Code 174400000X
License State Colorado
License Number 2673
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According to our database, Win Hbo NPI is 1093945685, taxonomy code is 174400000X and license number is 2673, license state is located at Colorado. Win Hbo physically located at 1460 E Valley Rd, Basalt CO, 81621-8411. NPI Number 1033115704 has the healthcare provider type.

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1093945685 NPI number is provided on an as is basis without warranty of any kind. 1093945685 is maintained by the National Plan & Provider Enumeration System. The contents of Win Hbo are for informational purposes only.