Colorado Surgical Affiliates, LLC

NPI #1699647255 in Montrose, Colorado

Provider Information

NPI Number: 1699647255
Entity Type: Organization
Organization Name: Colorado Surgical Affiliates, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO SURGICAL AFFILIATES, LLC
Primary Specialty: Urology
Enumeration Date: Sep 22, 2025
Last Updated: Sep 22, 2025

Practice Location

Address: 630 E STAR CT
City: Montrose
State: Colorado
ZIP Code: 81401-6702
Phone: (970) 243-3061

Authorized Official

Name: JACKIE NESTLE
Title: CREDENTIALING
Phone: (970) 244-5945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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