Organization
COLORADO MEDICAL GROUP, PLLC
Active
Parent organization
COLORADO MEDICAL GROUP, PLLC
Other names
United Vein & Vascular Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO MEDICAL GROUP, PLLC
Authorized official
ALI N WAZNI (CHIEF ADMINISTRATION OFFICER)
(800) 991-6117
Entity
Organization
Contact information
Practice address
6179 S BALSAM WAY STE 200, LITTLETON, CO 80123-3093
(800) 991-6117
Mailing address
3810 NORTHDALE BLVD STE 150, TAMPA, FL 33624-1871
(813) 961-1331
(888) 850-8316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
02/15/2024
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