Organization
WILLIAM G SELF JR MD PC
Active
Organization
WILLIAM G SELF JR MD PC
Active
Other names
Eye Surgery Center of Colorado PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI LYNN MORGAN (BILLING DEPT)
(303) 920-2685
Entity
Organization
Contact information
Practice address
8403 BRYANT ST, WESTMINSTER, CO 80031-3809
(303) 426-4810
(303) 426-8708
Mailing address
8403 BRYANT ST, WESTMINSTER, CO 80031-3809
(303) 426-4810
(303) 426-8708
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017513
—
CO
01
—
CN6824
RAILROAD MEDICARE
CO
Enumeration date
10/31/2006
Last updated
07/15/2013
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