Healthcare Provider Details
I. General information
NPI: 1295948867
Provider Name (Legal Business Name): FOX SURGICAL ASSISTANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9363 S HOLLAND WAY
LITTLETON CO
80127-5934
US
IV. Provider business mailing address
9363 S HOLLAND WAY
LITTLETON CO
80127-5934
US
V. Phone/Fax
- Phone: 303-380-7231
- Fax:
- Phone: 303-380-7231
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZS0410X |
| Taxonomy | Surgical Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
A.
FOX
Title or Position: PRESIDENT
Credential: CFA
Phone: 303-380-7231