Made LLC

NPI #1366784167 in Thornton, Colorado

Provider Information

NPI Number
1366784167
Entity Type
Organization
Organization Name
Made LLC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Mar 20, 2013
Last Updated
Mar 20, 2013

Practice Location

Address
1882 E 104TH AVE UNIT 936
ZIP Code
80233-4336
Phone
(720) 363-3145

Authorized Official

Name
LAWRENCE DAVIS, CSFA
Title
CERT. SURG FIRST ASSIST
Phone
(720) 363-3145

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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