Organization
DEPECHE ASSISTING, PC
Active
Organization
DEPECHE ASSISTING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED J DISS (REGISTERED AGENT)
(281) 324-5660
Entity
Organization
Contact information
Practice address
700 COLORADO BLVD STE 115, DENVER, CO 80206-4084
(281) 324-5660
(281) 324-5679
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 324-5660
(281) 324-5679
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
CO
Other
Enumeration date
03/25/2015
Last updated
03/17/2016
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