Organization
ALPINE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DEONIER SA (AUTHORIZED OFFICIAL / MANAGER)
(210) 387-7193
Entity
Organization
Contact information
Practice address
3475 BRIARGATE BLVD, SUITE 200, COLORADO SPRINGS, CO 80920-4170
(719) 219-2400
(719) 219-2409
Mailing address
3475 BRIARGATE BLVD, SUITE 200, COLORADO SPRINGS, CO 80920-4170
(719) 219-2400
(719) 219-2409
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
CO
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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