Organization
LONE TREE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEED H ISMAIL M.D. (PRESIDENT)
(303) 766-0357
Entity
Organization
Contact information
Practice address
10099 RIDGEGATE PKWY STE 490, LONE TREE, CO 80124-5537
(303) 766-0357
Mailing address
PO BOX 17402, DENVER, CO 80217-0402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27489248
—
CO
Enumeration date
09/20/2006
Last updated
01/16/2008
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