HAVENS FAMILY CLINIC

Family Medicine

Active Organization
NPI: 1619011830

Practice Address

109 LATIGO LN
SUITE C
Canon City, CO 81212

Phone: (719) 276-3211

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 2124 (CO)
Nurse Practitioner 363L00000X No NP4805 (CO)
Family Medicine 207Q00000X Yes 28791 (CO)

Frequently Asked Questions

NPI 1619011830 is the National Provider Identifier for HAVENS FAMILY CLINIC, a Family Medicine provider located in Canon City, CO. This NPI was enumerated on February 19, 2007.

Quick Facts

NPI
1619011830
Type
Organization
Enumerated
Feb 19, 2007
Last Updated
Mar 23, 2012

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