Organization
VICAN MEDICAL,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALIS CHINEDU NWAGWU (PRESIDENT)
(303) 306-1120
Entity
Organization
Contact information
Practice address
2323 S TROY ST, SUITE 3-105, AURORA, CO 80014-1946
(303) 306-1120
(303) 306-1134
Mailing address
2323 S TROY ST, SUITE 3-105, AURORA, CO 80014-1946
(303) 306-1120
(303) 306-1134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64032736
—
CO
Enumeration date
03/29/2006
Last updated
09/11/2025
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