South Denver Neurosurgery Assistance, LLC

NPI #1194014233 in Denver, Colorado

Provider Information

NPI Number: 1194014233
Entity Type: Organization
Organization Name: South Denver Neurosurgery Assistance, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 777 WILLIAMS ST
City: Denver
State: Colorado
ZIP Code: 80209
Phone: (281) 462-1285

Authorized Official

Name: DAVID VANSICKLE
Title: OWNER
Phone: (281) 462-1285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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