Organization
BASA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN CHAD EDMONSON CFA (SURGICAL FIRST ASSISTANT)
(303) 870-4937
Entity
Organization
Contact information
Practice address
9671 MILLSTONE CT, HIGHLANDS RANCH, CO 80130-3371
(303) 870-4937
Mailing address
PO BOX 5073, ENGLEWOOD, CO 80155-5073
(303) 870-4937
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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