Organization · Type 2 NPI

Community Specialty Group LLC

Specialist · Grand Jct, CO

NPI number 1912622333 Active

Practice location

2373 G Rd Ste 270
Grand Jct, CO 81505-1006

Call (970) 644-3800 Map

Fax (970) 644-3946

Mailing address

PO Box 1727
Grand Jct, CO 81502-1727

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Otolaryngology Physician	207Y00000X	None listed
Plastic Surgery within the Head & Neck (Otolaryngology) Physician	207YX0007X	None listed
Speech-Language Pathologist	235Z00000X	None listed

Specialist: 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.

5 other providers at this address

Other specialist providers in Grand Jct

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NPI record

NPI: 1912622333
Entity type: Organization (Type 2)
Issued: Oct 7, 2022
Last updated: Nov 29, 2022
Status: Active

Other names

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Grand Valley Ent & Facial Plastic Surgeons · doing business as
Grand Valley Ent & Facial Plastic Surgeons · doing business as

Authorized official

Christian Thomas
President/ceo
(970) 644-3011

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912622333

Community Specialty Group LLC's National Provider Identifier is 1912622333, issued on Oct 7, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Jct, CO. The record was last updated on Nov 29, 2022.