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Organization

COLORADO TRAUMA SERVICES PC

Active
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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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