Organization
SURGICAL ASSOCIATES OF GREELEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON W OGREN MD (PHYSICIAN OWNER)
(970) 352-8216
Entity
Organization
Contact information
Practice address
1800 15TH ST STE 210, GREELEY, CO 80631-4563
(970) 352-8216
(970) 352-5297
Mailing address
1800 15TH ST STE 210, GREELEY, CO 80631-4563
(970) 352-8216
(970) 352-5297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013207
—
CO
Enumeration date
04/12/2007
Last updated
04/10/2008
Update your record
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