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1st Choice Surgical Services INC

Physician Assistant, Surgical in Colorado Springs, CO. Organization (NPI-2).

NPI number1194093765
StatusActive
Last updated in NPPESFeb 17, 2022

Details

NPI
1194093765
Entity type
Organization (NPI-2)
Legal business name
1st Choice Surgical Services INC
Organization subpart
No
Enumeration date
Dec 9, 2011
Certification date
Feb 3, 2022
Last updated
Feb 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes
246ZS0410X Specialist/Technologist, Other, Surgical Technologist99750CO

Practice location

222 N Nevada Ave
Colorado Springs, CO 80907

Phone 719-733-3086

Mailing address

Po Box 673
Monument, CO 80132-0673

Phone 719-733-3086

Authorized official

Marc A Johnson
Owner
7196507994

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