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SURGICAL SPECIALISTS OF CENTENNIAL NPI 1447703558


NPI Information

NPI: 1447703558
Provider Name: SURGICAL SPECIALISTS OF CENTENNIAL
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
5380 AUTUMN DR
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (720) 974-2506
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SURGICAL SPECIALISTS OF CENTENNIAL is a surgical physician assistant in Greenwood Village, CO. SURGICAL SPECIALISTS OF CENTENNIAL NPI is 1447703558. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5380 AUTUMN DR
GREENWOOD VILLAGE, CO
ZIP 80111-424
Phone: (720) 974-2506

The provider's authorized official is Zaki Ibrahim .
The authorized official title is Owner/physician and has the following contact phone number (720) 974-2506.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 7/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA-0001715COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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