Organization
PRIME TIME SURGICAL ASSISTING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAREL GRANT CST, LSA (OWNER)
(720) 955-0456
Entity
Organization
Contact information
Practice address
14231 E 1ST DR UNIT 203, AURORA, CO 80011-3818
(720) 955-0456
Mailing address
PO BOX 440216, AURORA, CO 80044-0216
(720) 955-0456
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
05/14/2023
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