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Individual

AHMAD WALID DASTGEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA SURGICAL

Contact information

Practice address
4674 JASPER LN, BROOMFIELD, CO 80020-8131
(720) 300-1208
(303) 410-6903
Mailing address
DASTGEER SURGICAL ASSOCIATES, P.O.BOX 41, BROOMFIELD, CO 80038-0041
(720) 300-1208
(303) 410-6903

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1280
CO

Other

Enumeration date
12/06/2006
Last updated
09/22/2016
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