Healthcare Provider Details

I. General information

NPI: 1376348722
Provider Name (Legal Business Name): ASE MEDICAL CO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23750 E 14TH AVE STE 300
AURORA CO
80018-1974
US

IV. Provider business mailing address

23750 E 14TH AVE STE 300
AURORA CO
80018-1974
US

V. Phone/Fax

Practice location:
  • Phone: 720-830-4199
  • Fax:
Mailing address:
  • Phone: 720-830-4199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: AKE EVANS
Title or Position: OWNER
Credential: MD
Phone: 720-830-4199