Organization
PREMIER SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN Y KIM MD (PHYSICIAN)
(303) 795-3375
Entity
Organization
Contact information
Practice address
7780 S BROADWAY, SUITE 250, LITTLETON, CO 80122-2648
(303) 795-3375
(303) 795-0621
Mailing address
7780 S BROADWAY, SUITE 250, LITTLETON, CO 80122-2648
(303) 795-3375
(303) 795-0621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41224
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588728737
NPI GROUP
CO
05
—
62409824
—
CO
Enumeration date
12/21/2006
Last updated
05/10/2008
Update your record
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