Organization
COLORADO SPRINGS SURGICAL FIRST ASSISTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D MOORE RNFA (OWNER)
(719) 574-9889
Entity
Organization
Contact information
Practice address
4708 VISTA VIEW LN, COLORADO SPRINGS, CO 80915-1040
(719) 574-9889
(719) 574-6364
Mailing address
PO BOX 76510, COLORADO SPRINGS, CO 80970-6510
(719) 638-8844
(719) 638-8115
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
69886
CO
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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