Organization
ANGELA PEACH SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FAYE PEACH CSFA (SURGICAL ASSISTANT)
(931) 622-5837
Entity
Organization
Contact information
Practice address
8200 S QUEBEC ST, STE A3287, CENTENNIAL, CO 80112-4411
(931) 622-5837
Mailing address
8200 S QUEBEC ST, STE A3287, CENTENNIAL, CO 80112-4411
(931) 622-5837
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
05/11/2020
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