Organization
PARK AVENUE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY K POPHAM MD (PRESIDENT)
(303) 468-8844
Entity
Organization
Contact information
Practice address
1800 EMERSON ST, STE 200, DENVER, CO 80218
(303) 468-8844
(303) 468-8850
Mailing address
1800 EMERSON ST, STE 200, DENVER, CO 80218
(303) 468-8844
(303) 468-8850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0769
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88530221
—
CO
Enumeration date
11/20/2006
Last updated
06/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us