Organization
ADVANCED SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HOVANEC-BROWN (DIRECTOR OF OPERATIONS)
(720) 934-2561
Entity
Organization
Contact information
Practice address
1721 E 19TH AVE, SUITE 404, DENVER, CO 80218
(303) 861-4505
(303) 861-9036
Mailing address
1721 E 19TH AVE, SUITE 404, DENVER, CO 80218
(303) 861-4505
(303) 861-9036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013579
—
CO
01
—
THF2808
BC/BS GROUP
—
Enumeration date
10/04/2006
Last updated
10/12/2012
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