Organization
NORTHGLENN ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAUS MAHNKE MD (BOARD MEMEBER)
(303) 604-5000
Entity
Organization
Contact information
Practice address
11900 GRANT STREET, #320, NORTHGLENN, CO 80233
(303) 604-5000
(720) 890-0364
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000154492
—
CO
Enumeration date
08/28/2016
Last updated
03/05/2020
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