Organization
PRIME TIME SURGICAL ASSISTING AND CONSULTING LLC
Active
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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