Provider Demographics
NPI:1891333829
Name:DENVER SURGICAL ASSISTANTS PC
Entity Type:Organization
Organization Name:DENVER SURGICAL ASSISTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CREA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-795-3375
Mailing Address - Street 1:7780 S BROADWAY STE 250
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2633
Mailing Address - Country:US
Mailing Address - Phone:303-795-3375
Mailing Address - Fax:303-795-0621
Practice Address - Street 1:7780 S BROADWAY STE 250
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2633
Practice Address - Country:US
Practice Address - Phone:303-795-3375
Practice Address - Fax:303-795-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty