Organization
TERESA FEDOR, SA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA MARIE FEDOR CSFA (SURGICAL ASSISTANT)
(720) 626-6807
Entity
Organization
Contact information
Practice address
5564 S URAVAN CT, CENTENNIAL, CO 80015-2652
(720) 626-6807
(888) 399-7542
Mailing address
5564 S URAVAN CT, CENTENNIAL, CO 80015-2652
(720) 626-6807
(888) 399-7542
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0001013
CO
Other
Enumeration date
04/17/2007
Last updated
02/09/2016
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