Provider Demographics
NPI:1528190055
Name:MCDONALD SURGICAL ASSISTING, L.L.C.
Entity Type:Organization
Organization Name:MCDONALD SURGICAL ASSISTING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:CST CFA
Authorized Official - Phone:303-942-0088
Mailing Address - Street 1:PO BOX 1736
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80034-1736
Mailing Address - Country:US
Mailing Address - Phone:303-942-0088
Mailing Address - Fax:
Practice Address - Street 1:4045 FIELD DR
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4357
Practice Address - Country:US
Practice Address - Phone:303-942-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty