Organization
THIRD HAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KELLY (SURGICAL FIRST ASSIST)
(719) 574-7781
Entity
Organization
Contact information
Practice address
11113 BIRCH HOLLOW WAY, PEYTON, CO 80831-5037
(719) 574-7781
Mailing address
11113 BIRCH HOLLOW WAY, PEYTON, CO 80831-5037
(719) 574-7781
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
11-235
CO
Other
Enumeration date
08/12/2011
Last updated
01/10/2012
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