Healthcare Provider Details

I. General information

NPI: 1598540502
Provider Name (Legal Business Name): RSC AURORA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7375 W 52ND AVE STE 300
ARVADA CO
80002-3748
US

IV. Provider business mailing address

1444 S POTOMAC ST STE 175
AURORA CO
80012-4530
US

V. Phone/Fax

Practice location:
  • Phone: 720-443-2425
  • Fax:
Mailing address:
  • Phone: 720-443-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROSS B CHOD
Title or Position: PARTNER
Credential: MD
Phone: 720-443-2425