Organization
AVALON SURGICAL PC
Active
Organization
AVALON SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED J DISS (REGISTERED AGENT)
(281) 324-5660
Entity
Organization
Contact information
Practice address
700 COLORADO BLVD, STE 115, DENVER, CO 80206-4084
(281) 324-5660
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 324-5660
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
CO
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up