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Organization

SARA WESTERHAUS, SURGICAL ASSISTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MICHELLE WESTERHAUS (OWNER)
(719) 473-3272
Entity
Organization

Contact information

Practice address
1322 N ACADEMY BLVD STE 204, COLORADO SPRINGS, CO 80909-3320
(719) 638-8844
Mailing address
PO BOX 76510, COLORADO SPRINGS, CO 80970-6510
(719) 638-8844

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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