Organization
HIGH COUNTRY SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY GRAVENOR CSA (PRESIDENT)
(281) 462-1285
Entity
Organization
Contact information
Practice address
7202 BUCKINGHAM PL, LITTLETON, CO 80130-4169
(281) 462-1285
(281) 462-1554
Mailing address
7202 BUCKINGHAM PL, LITTLETON, CO 80130-4169
(281) 462-1285
(281) 462-1554
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2703
CO
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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