Organization · Type 2 NPI
Havens Family Clinic
Medical Physician Assistant · Canon City, CO
NPI number
1982731535
Active
Practice location
109 Latigo Ln, Suite C
Canon City, CO 81212-8112
Fax (719) 276-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 28791 (CO) |
| Medical Physician Assistant Primary | 363AM0700X | 2124 (CO) |
| Nurse Practitioner | 363L00000X | NP4805 (CO) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Canon City Counseling & Psychotherapy ServicesClinical Social Worker Canon City, CO NPI 1932261617
- Havens Family ClinicFamily Nurse Practitioner Canon City, CO NPI 1134249964
- Havens Family ClinicFamily Medicine Physician Canon City, CO NPI 1619011830
- Village Physical Therapy, P.c.Physical Therapist Canon City, CO NPI 1790805000
- Young and Graham PCChiropractor Canon City, CO NPI 1710423447
About NPI 1982731535
Havens Family Clinic's National Provider Identifier is 1982731535, issued on Feb 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Canon City, CO. The record was last updated on Nov 12, 2010.