Provider Demographics
NPI:1831274554
Name:CVS-THORACIC & CARDIOVASCULAR SURGERY PC
Entity type:Organization
Organization Name:CVS-THORACIC & CARDIOVASCULAR SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-595-2700
Mailing Address - Street 1:3555 LUTHERAN PKWY
Mailing Address - Street 2:STE 380
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6023
Mailing Address - Country:US
Mailing Address - Phone:303-595-2700
Mailing Address - Fax:303-595-2777
Practice Address - Street 1:3555 LUTHERAN PKWY
Practice Address - Street 2:STE 380
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6023
Practice Address - Country:US
Practice Address - Phone:303-595-2700
Practice Address - Fax:303-595-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty