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Organization

DYR SURGASSIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBEN Y DATKHAEV SA (PRESIDENT)
(720) 540-7155
Entity
Organization

Contact information

Practice address
3715 W 95TH PL, WESTMINSTER, CO 80031-2603
(720) 540-7155
Mailing address
3464 S WILLOW ST, SUITE 154, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
06/11/2006
Last updated
10/30/2007
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