Organization
VISTA SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA LANE REYNOLDS MD, FACS (CEO)
(303) 788-5300
Entity
Organization
Contact information
Practice address
601 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2788
(303) 788-5300
(303) 788-5363
Mailing address
601 E HAMPDEN AVE STE 200, ENGLEWOOD, CO 80113-2788
(303) 788-5300
(303) 788-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
01/15/2024
Last updated
01/21/2026
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