Provider Demographics
NPI:1093879181
Name:WILLIAM L SABER MD PC
Entity Type:Organization
Organization Name:WILLIAM L SABER MD PC
Other - Org Name:ALPINE PLASTIC SURGERY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-429-7582
Mailing Address - Street 1:3455 LUTHERAN PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6028
Mailing Address - Country:US
Mailing Address - Phone:303-429-7582
Mailing Address - Fax:303-429-6522
Practice Address - Street 1:3455 LUTHERAN PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6028
Practice Address - Country:US
Practice Address - Phone:303-429-7582
Practice Address - Fax:303-429-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23494208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO240003886OtherRR MEDICARE
CO1043301864OtherNPI NUMBER
COF8208Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER