Glacier Acute Surgery Professional LLC

NPI #1003184821 in Thornton, Colorado

Provider Information

NPI Number: 1003184821
Entity Type: Organization
Organization Name: Glacier Acute Surgery Professional LLC
Primary Specialty: Surgery
Enumeration Date: Dec 7, 2011
Last Updated: Oct 17, 2016

Practice Location

Address: 9351 GRANT ST
Address 2: STE 400
City: Thornton
State: Colorado
ZIP Code: 80229-4358
Phone: (303) 452-0059

Authorized Official

Name: ISABELLE AUDET, MD
Title: OWNER
Phone: (303) 452-0059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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