Organization
PROFESSIONAL ALLIANCE SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BEALE (CEO)
(720) 335-5701
Entity
Organization
Contact information
Practice address
2251 S ZANG CT, LAKEWOOD, CO 80228-4365
(720) 335-5701
Mailing address
2251 S ZANG CT, LAKEWOOD, CO 80228-4365
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
F01131
CO
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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