Individual
ANDREW STATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
38125 ROUTT COUNTY ROAD 53, HAYDEN, CO 81639-0744
(224) 388-0139
Mailing address
PO BOX 744, HAYDEN, CO 81639-0744
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
03/22/2016
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