Organization
COLORADO SURGICAL SERVICE PC
Active
Other names
Surgical Specialists of Colorado, Surgical Specialists of Colorado, PC
Organization subpart
No
Provider details
NPI number
Authorized official
LARS CHARLES ANKERSEN (CFO)
(720) 996-0780
Entity
Organization
Contact information
Practice address
400 INDIANA ST STE 200, GOLDEN, CO 80401-5027
(303) 467-1400
(303) 467-1467
Mailing address
4350 WADSWORTH BLVD STE 401, WHEAT RIDGE, CO 80033-4638
(207) 996-0780
(303) 382-9915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007894
—
CO
01
—
186125200
DEPT OF LABOR
—
05
—
89730585
—
CO
01
—
COB3508
ANTHEM BC/BC OF CO
CO
Enumeration date
03/05/2007
Last updated
08/03/2022
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