Organization
PERSONAL SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SHAMA (SECRETARY)
(303) 886-5729
Entity
Organization
Contact information
Practice address
11354 JERSEY ST, THORNTON, CO 80233-5523
(303) 887-8091
Mailing address
11354 JERSEY ST, THORNTON, CO 80233-5523
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
CO
Other
Enumeration date
05/20/2017
Last updated
05/20/2017
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