Organization
CASTLE PINES SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS SHAWN HANLEY (RNFA)
(720) 244-8092
Entity
Organization
Contact information
Practice address
761 BRIAR HAVEN DR, CASTLE ROCK, CO 80108-5507
(720) 244-8092
Mailing address
761 BRIAR HAVEN DR, CASTLE ROCK, CO 80108-5507
(720) 244-8092
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
125255
CO
Other
Enumeration date
01/30/2010
Last updated
01/30/2010
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