Organization
CENTENNIAL SURGICAL ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JOHNSON M.D. (OWNER)
(719) 566-3535
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, STE 510, PUEBLO, CO 81003-2700
(719) 566-3535
(719) 566-3565
Mailing address
1600 N GRAND AVE, STE 510, PUEBLO, CO 81003-2700
(719) 566-3535
(719) 566-3565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24179078
—
CO
Enumeration date
08/03/2006
Last updated
10/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us