Organization
COLORADO CARDIOVASCULAR SURGICAL ASSOCIATES, INC
Active
Parent organization
COLORADO CARDIOVASCULAR SURGICAL AS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO CARDIOVASCULAR SURGICAL AS
Authorized official
TAWNYA S WARTELL (PRACTICE ADMINISTRATOR)
(303) 778-6527
Entity
Organization
Contact information
Practice address
4700 HALE PKWY STE 340, DENVER, CO 80220-4024
(303) 778-6527
(303) 733-1288
Mailing address
500 E HAMPDEN AVE STE 204, ENGLEWOOD, CO 80113-2885
(303) 778-6527
(303) 733-1288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017786
—
CO
Enumeration date
08/05/2022
Last updated
11/29/2023
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