Organization
BAC ACUTE SURGICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD CASE MD (OWNER)
(970) 623-4104
Entity
Organization
Contact information
Practice address
2478 PATTERSON RD, GRAND JUNCTION, CO 81505-3605
(970) 623-4104
(970) 644-5399
Mailing address
2536 RIMROCK AVE, SUITE 400-321, GRAND JUNCTION, CO 81505-8669
(970) 623-4104
(970) 644-5399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR45880
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97431761
—
CO
Enumeration date
01/06/2014
Last updated
12/01/2016
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