# CARDIOVASCULAR AND THORACIC GROUP LLC

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

## Provider details

- **NPI number:** 1629214432
- **Authorized official:** MICHAEL STANTON MD (OWNER/MANAGER)
- **Authorized official phone:** (970) 495-0300

## Contact information

- **Practice address:** 2500 ROCKY MOUNTAIN AVE, LOVELAND, CO 80538-9004
- **Practice address phone:** (970) 221-5878
- **Mailing address:** 1175 58TH AVE, STE 202, GREELEY, CO 80634-4808
- **Mailing address phone:** (970) 495-0300
- **Mailing address fax:** (970) 224-9624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | CO | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | CO | Yes |

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 12/29/2008