Healthcare Provider Details

I. General information

NPI: 1144785247
Provider Name (Legal Business Name): CMFN ASSISTING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27351 E OTERO PL
AURORA CO
80016-2555
US

IV. Provider business mailing address

27351 E OTERO PL
AURORA CO
80016-2555
US

V. Phone/Fax

Practice location:
  • Phone: 720-937-8412
  • Fax:
Mailing address:
  • Phone: 720-937-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: CLAY GOODHUE
Title or Position: PRESIDENT/SURGICAL ASSISTANT
Credential: CSFA
Phone: 720-937-8412