Organization
SOUTHWEST SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C DEAVER MD (PRESIDENT)
(970) 247-4448
Entity
Organization
Contact information
Practice address
1 MERCADO ST # 220, DURANGO, CO 81301-7300
(970) 247-4448
(970) 382-6607
Mailing address
1 MERCADO ST # 220, DURANGO, CO 81301-7300
(970) 247-4448
(970) 382-6607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009742
—
CO
Enumeration date
07/16/2006
Last updated
07/10/2008
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