Organization
SPINE SURGERY ASSISTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE A LUCERO 3032872800 (PHYSICIAN LIAISON MANAGER)
(303) 287-2800
Entity
Organization
Contact information
Practice address
9005 GRANT ST, SUITE 200, THORNTON, CO 80229-4300
(303) 287-2800
(303) 287-7357
Mailing address
PO BOX 29550, THORNTON, CO 80229-0550
(303) 287-2800
(303) 287-7357
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2352
CO
363L00000X
Nurse Practitioner
Primary
63736
CO
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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