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Genesis Surgical Assisting LLC

Specialist/Technologist, Other, Surgical Assistant in Thornton, CO. Organization (NPI-2).

NPI number1194201640
StatusActive
Last updated in NPPESJul 18, 2018

Details

NPI
1194201640
Entity type
Organization (NPI-2)
Legal business name
Genesis Surgical Assisting LLC
Organization subpart
No
Enumeration date
Jul 18, 2018
Last updated
Jul 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZC0007X Specialist/Technologist, Other, Surgical Assistant––Yes

Practice location

3758 E 104th Ave # 102
Thornton, CO 80233-4434

Phone 308-440-7991

Mailing address

3758 E 104th Ave # 102
Thornton, CO 80233-4434

Phone 308-440-7991

Authorized official

Dwain Rosse
Owner
3084407991

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