Organization
SURGICAL SPECIALISTS OF COLORADO PLLC
Active
Other names
Peak Surgical & Wound Care, Caraid Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN KAY GLENN (OWNER/OPERATOR)
(720) 820-9455
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY STE 309, LONE TREE, CO 80124-5525
(720) 616-7835
(303) 736-4226
Mailing address
14100 E ARAPAHOE RD STE 260, CENTENNIAL, CO 80112-4048
(720) 616-7835
(303) 736-4226
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
DR47517
CO
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000171312
—
CO
Enumeration date
10/23/2015
Last updated
04/08/2026
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