Organization
SURGICAL SPECIALISTS OF COLORADO PLLC
Active
Other names
Caraid Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN KAY GLENN MD (OWNER)
(720) 820-9455
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY STE 211, LONE TREE, CO 80124-5525
(720) 820-9455
(303) 736-4226
Mailing address
10103 RIDGEGATE PKWY STE 211, LONE TREE, CO 80124-5525
(720) 820-9455
(303) 736-4226
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000171312
—
CO
Enumeration date
09/03/2015
Last updated
03/11/2026
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