| NPI | 1801381710 |
|---|---|
| Other Name | BLUE MOUNTAIN SURGICAL ASSISTING |
| Entity Type | Organization |
| Authorized Contact | ANTHONY FABRE President/Owner 720-436-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 13-460) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |