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1962896563
AVALON SURGICAL PC
DENVER, CO
NPI
1962896563
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Entity Type
Organization
Authorized Contact
FRED J DISS
Registered Agent
281-324-5660
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
AVALON SURGICAL PC
700 COLORADO BLVD STE 115
DENVER, CO 80206-4084
Phone number: 281-324-5660
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Mailing Address
AVALON SURGICAL PC
PO BOX 1288
CROSBY, TX 77532-1288
Phone number: 281-324-5660
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