1st Choice Surgical Services INC
Physician Assistant in Colorado Springs, CO. Organization (NPI-2).
NPI number1376581793
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1376581793
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Choice Surgical Services INC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2006
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA1915 | CO | Yes |
Other names
- Marc A Johnson Pac (Other Name)
Practice location
3550 Cragwood PlColorado Springs, CO 80907
Phone 719-533-1433 · Fax 719-533-1433
Mailing address
Po Box 673Monument, CO 80132-0673
Phone 719-650-7994
Authorized official
Marc Antonio Johnson
President
7196507994
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