Organization
FRONT RANGE SURGICAL ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C. GARLITZ MD (PRESIDENT)
(303) 428-0004
Entity
Organization
Contact information
Practice address
8300 ALCOTT ST, SUITE 201, WESTMINSTER, CO 80031-4008
(303) 428-0004
Mailing address
8300 ALCOTT ST, SUITE 201, WESTMINSTER, CO 80031-4008
(303) 428-0004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020236
—
CO
01
—
CN2778
RAILROAD MEDICARE
CO
01
—
FRU8108
BLUE SHIELD
CO
Enumeration date
07/22/2006
Last updated
02/15/2017
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