Provider Demographics
NPI: | 1891450805 |
---|---|
Name: | NORTH DENVER MUSCULOSKELETAL SURGICAL PARTNERS LLC |
Entity Type: | Organization |
Organization Name: | NORTH DENVER MUSCULOSKELETAL SURGICAL PARTNERS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OFFICER/AUTHORIZED OFFICIAL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SARA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRESSMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 402-779-6135 |
Mailing Address - Street 1: | 14201 DALLAS PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | DALLAS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75254-2916 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 469-872-4706 |
Mailing Address - Fax: | 972-767-3547 |
Practice Address - Street 1: | 14190 ORCHARD PKWY STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | WESTMINSTER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80023-9709 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-856-0008 |
Practice Address - Fax: | 303-451-0275 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-11-04 |
Last Update Date: | 2023-10-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |