Organization
COLORADO ENDOSURGERY INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DOUGLAS FRADKIN M.D. (CEO AND PRESIDENT)
(720) 290-8772
Entity
Organization
Contact information
Practice address
16830 NORTHGATE DR, SUITE 130, PARKER, CO 80134-5778
(720) 290-8772
(720) 206-0806
Mailing address
8390 E CRESCENT PKWY, SUITE 100, GREENWOOD VILLAGE, CO 80111-2811
(720) 290-8772
(720) 206-0806
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44107
CO
Other
Enumeration date
02/12/2008
Last updated
11/14/2008
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