Organization
COLORADO TRAUMA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARS C ANKERSEN (CFO)
(720) 996-0780
Entity
Organization
Contact information
Practice address
4350 WADSWORTH BLVD STE 401, WHEAT RIDGE, CO 80033-4638
(720) 996-0780
(303) 800-8381
Mailing address
4350 WADSWORTH BLVD STE 401, WHEAT RIDGE, CO 80033-4638
(720) 996-0780
(303) 800-8381
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612034500
DEPT OF LABOR
—
01
—
612034501
DEPT OF LABOR - SALIDA
—
05
—
68228066
—
CO
Enumeration date
06/22/2006
Last updated
07/13/2022
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