Organization
SUMMIT SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LADD (MANAGER)
(616) 723-3731
Entity
Organization
Contact information
Practice address
2068 E FLOYD PL, ENGLEWOOD, CO 80113-3129
(616) 723-3731
Mailing address
PO BOX 102755, DENVER, CO 80250-2755
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3036
CO
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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