Healthcare Provider Details
I. General information
NPI: 1285488825
Provider Name (Legal Business Name): USA VEIN CLINICS OF COLORADO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2871 N SPEER BLVD
DENVER CO
80211-4226
US
IV. Provider business mailing address
PO BOX 791
NORTHBROOK IL
60065-0791
US
V. Phone/Fax
- Phone: 847-593-8460
- Fax: 224-235-4652
- Phone: 847-593-8460
- Fax: 224-235-4652
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
A
MORRISON
Title or Position: OWNER
Credential: M.D.
Phone: 727-644-3038