Organization
COLORADO MEDICAL GROUP, PLLC
Active
Organization
COLORADO MEDICAL GROUP, PLLC
Active
Other names
United Vein & Vascular Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALI N WAZNI (CHIEF ADMINISTRATION OFFICER)
(800) 991-6117
Entity
Organization
Contact information
Practice address
5657 S HIMALAYA ST STE 210, CENTENNIAL, CO 80015-5309
(800) 991-6117
(888) 812-8191
Mailing address
3810 NORTHDALE BLVD STE 150, TAMPA, FL 33624-1871
(831) 321-4906
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/14/2023
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