Individual
MR. ALAN CHAD EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
9671 MILLSTONE CT, HIGHLANDS RANCH, CO 80130-3371
(303) 870-4937
Mailing address
PO BOX 5073, ENGLEWOOD, CO 80155-5073
(303) 953-1295
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA.0001554
CO
Other
Enumeration date
01/04/2012
Last updated
10/24/2018
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