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Organization

VICAN MEDICAL,INC.

Active
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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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