Healthcare Provider Details

I. General information

NPI: 1962735951
Provider Name (Legal Business Name): OBERLANDER SURGICAL ASSISTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19305 S. GIBIN STREET
DENVER CO
80210
US

IV. Provider business mailing address

PO BOX 100536
DENVER CO
80250-0536
US

V. Phone/Fax

Practice location:
  • Phone: 303-514-9190
  • Fax: 281-462-1554
Mailing address:
  • Phone: 303-514-9190
  • Fax: 281-462-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MR. SEAN OBERLANDER
Title or Position: OWNER
Credential: SA
Phone: 303-514-9190