Healthcare Provider Details

I. General information

NPI: 1639693435
Provider Name (Legal Business Name): MD FIRST ASSISTANT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8156 S WADSWORTH BLVD UNIT E-337
LITTLETON CO
80128-9114
US

IV. Provider business mailing address

8156 S WADSWORTH BLVD UNIT E-337
LITTLETON CO
80128-9114
US

V. Phone/Fax

Practice location:
  • Phone: 281-462-4854
  • Fax:
Mailing address:
  • Phone: 281-462-4854
  • 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: MR. MIKHAIL DRUZHININ
Title or Position: OWNER
Credential: CSFA
Phone: 720-442-2988