Colorado Surgical Service PC

NPI #1215543913 in Longmont, Colorado

Provider Information

NPI Number: 1215543913
Entity Type: Organization
Organization Name: Colorado Surgical Service PC
Primary Specialty: Surgery
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 2030 MOUNTAIN VIEW AVE
Address 2: SUITE 200
City: Longmont
State: Colorado
ZIP Code: 80501-3180
Phone: (720) 885-9600

Authorized Official

Name: LARS ANKERSEN
Title: CFO
Phone: (720) 996-0780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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