OrganizationActive
Western Otolaryngology
NPI 1093986986 · Otolaryngology/Facial Plastic Surgery Physician · Wheat Ridge, CO
Provider details
- NPI number
- 1093986986
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carla Fetzer, Office Manager(303) 425-0449
- License
- 19871416289 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3550 Lutheran Pkwy W
Ste 102
Wheat Ridge, CO 80033-6013
Phone: (303) 425-0449
Approximate (ZIP-level) locationGet directions
Mailing address
3550 Lutheran Pkwy W
Wheat Ridge, CO 80033-6013
Registry dates
- Enumerated
- 2008-03-18
- Last updated
- 2009-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.