| NPI | 1891294922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS E PAIGE Surgical Assistant 303-815-4708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO SA.0001568) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-08-18 |