Organization · Type 2 NPI
Klarisana Physician Services PLLC
General Practice Physician · Longmont, CO
NPI number
1306503446
Active
Practice location
1800 Industrial Cir Ste F
Longmont, CO 80501-6524
Fax (888) 504-2390
Mailing address
PO Box 736403
Dallas, TX 75373-6403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1306503446
Klarisana Physician Services PLLC's National Provider Identifier is 1306503446, issued on Nov 23, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Longmont, CO. The record was last updated on Oct 6, 2026.