Organization
INDEPENDENT SURGICAL ASSISTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MARTINEZ (OWNER)
(281) 462-1285
Entity
Organization
Contact information
Practice address
205 S MAIN ST STE D, LONGMONT, CO 80501-1714
(281) 462-1285
Mailing address
PO BOX 838, MORRISON, CO 80465-0838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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