Organization
NORTHWEST SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON I MOZIA MD (OWNER)
(303) 467-8987
Entity
Organization
Contact information
Practice address
8550 W 38TH AVE, SUITE 205, WHEAT RIDGE, CO 80033-4342
(303) 467-8987
(303) 467-9510
Mailing address
8550 W 38TH AVE, SUITE 205, WHEAT RIDGE, CO 80033-4342
(303) 467-8987
(303) 467-9510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007035
—
CO
01
—
DG0222
RAILROAD MEDICARE
CO
01
—
N0226608
ANTHEM
CO
Enumeration date
03/29/2006
Last updated
04/20/2008
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