Provider Demographics
NPI:1992391650
Name:CARSON AND DANIELS OUTPATIENT SERVICES
Entity Type:Organization
Organization Name:CARSON AND DANIELS OUTPATIENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:303-668-3453
Mailing Address - Street 1:7333 E 129TH PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8425
Mailing Address - Country:US
Mailing Address - Phone:303-668-3453
Mailing Address - Fax:303-439-9322
Practice Address - Street 1:7333 E 129TH PL
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8425
Practice Address - Country:US
Practice Address - Phone:303-668-3453
Practice Address - Fax:303-439-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies