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Organization
CARDIOVASCULAR AND THORACIC GROUP LLC
Active
Organization
CARDIOVASCULAR AND THORACIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STANTON MD (OWNER/MANAGER)
(970) 495-0300
Entity
Organization
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, LOVELAND, CO 80538-9004
(970) 221-5878
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4808
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
CO
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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