Healthcare Provider Details

I. General information

NPI: 1891333829
Provider Name (Legal Business Name): DENVER SURGICAL ASSISTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 12/20/2019
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 S BROADWAY STE 250
LITTLETON CO
80122-2633
US

IV. Provider business mailing address

7780 S BROADWAY STE 250
LITTLETON CO
80122-2633
US

V. Phone/Fax

Practice location:
  • Phone: 303-795-3375
  • Fax: 303-795-0621
Mailing address:
  • Phone: 303-795-3375
  • Fax: 303-795-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: CREA FUSCO
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 303-795-3375