Organization
SURGICAL ASSISTANCE
Active
Organization
SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LINBOE (OWNER)
(720) 626-3692
Entity
Organization
Contact information
Practice address
6121 WINDEMERE RD, LOVELAND, CO 80537-7012
(720) 626-3692
Mailing address
6121 WINDEMERE RD, LOVELAND, CO 80537-7012
(720) 626-3692
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
1171
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
09/22/2020
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