Organization
EDMUND SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E PAIGE (SURGICAL ASSISTANT)
(303) 815-4708
Entity
Organization
Contact information
Practice address
1079 JOLIET ST, AURORA, CO 80010-4047
(303) 815-4708
Mailing address
1079 JOLIET ST, AURORA, CO 80010-4047
(303) 815-4708
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA.0001568
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
08/18/2022
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