Provider Demographics
NPI:1346466109
Name:MUSSER, MITCHELL DAVID (SURGICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:DAVID
Last Name:MUSSER
Suffix:
Gender:M
Credentials:SURGICAL ASSISTANT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2184 RANCHERO DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-7126
Mailing Address - Country:US
Mailing Address - Phone:719-338-1244
Mailing Address - Fax:303-839-1616
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:BLD 2 SUITE 410
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5401
Practice Address - Country:US
Practice Address - Phone:303-839-1616
Practice Address - Fax:303-839-1991
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2010-04-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist