# WHEAT RIDGE GENERAL AND VASCULAR SURGICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467526186
- **Authorized official:** LISA A DEFEYTER (SECRETARY)
- **Authorized official phone:** (303) 431-2900

## Contact information

- **Practice address:** 7805 W 38TH AVE, WHEAT RIDGE, CO 80033-6109
- **Practice address phone:** (303) 431-2900
- **Practice address fax:** (303) 431-2999
- **Mailing address:** 7805 W 38TH AVE, WHEAT RIDGE, CO 80033-6109
- **Mailing address phone:** (303) 431-2900
- **Mailing address fax:** (303) 431-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 29993 | CO | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 02/17/2010