Organization
COLORADO SURGICAL AFFILIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE S NESTLE (REVENUE CYCLE DIRECTOR)
(970) 244-5945
Entity
Organization
Contact information
Practice address
2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
(970) 243-0900
(970) 245-4235
Mailing address
2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
(970) 243-0900
(970) 245-4235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
07/20/2016
Last updated
06/02/2026
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