Organization
COLORADO MEDICAL GROUP, PLLC
Active
Organization
COLORADO MEDICAL GROUP, PLLC
Active
Other names
United Vein & Vascular Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALI N WAZNI (CHIEF ADMINISTRATION OFFICER)
(800) 991-6117
Entity
Organization
Contact information
Practice address
9195 GRANT ST STE 300, THORNTON, CO 80229-4386
(800) 991-6117
(888) 812-8191
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
07/21/2025
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