Glacier Acute Surgery Professional Llc

NPI 1003184821 - Surgery - 208600000X

NPI Details
NPI 1003184821
Enumeration Date 12/07/2011
Last Updated 01/25/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ISABELLE ISABELLE
Position OWNER
Phone (248) 935-7200
Fax
Practice Location
9191 GRANT ST
THORNTON CO, 80229-4361, US
Phone (248) 935-7200
Fax
Business Location
PO BOX 11065
BOULDER CO, 80301-0001, US
Phone (248) 935-7200
Fax
Toxanomy
Taxonomy Code 208600000X
License State Colorado
License Number 49355
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According to our database, Glacier Acute Surgery Professional Llc NPI is 1003184821, taxonomy code is 208600000X and license number is 49355, license state is located at Colorado. Glacier Acute Surgery Professional Llc physically located at 9191 Grant St, Thornton CO, 80229-4361. NPI Number 1033115704 has the healthcare provider type.

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1003184821 NPI number is provided on an as is basis without warranty of any kind. 1003184821 is maintained by the National Plan & Provider Enumeration System. The contents of Glacier Acute Surgery Professional Llc are for informational purposes only.