Organization
GENESIS SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAIN ROSSE (OWNER)
(308) 440-7991
Entity
Organization
Contact information
Practice address
3758 E 104TH AVE # 102, THORNTON, CO 80233-4434
(308) 440-7991
Mailing address
3758 E 104TH AVE # 102, THORNTON, CO 80233-4434
(308) 440-7991
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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