MEDICARE: ASE MEDICAL CO PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1376348722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASE MEDICAL CO PLLC

Provider Business Mailing Address
First Line	:	23750 E 14TH AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-1974
Country	:	US
Telephone Number	:	720-830-4199
Fax Number	:

Provider Business Practice Location Address
First Line	:	23750 E 14TH AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80018-1974
Country	:	US
Telephone Number	:	720-830-4199
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AKE EVANS
Credential	:	MD
Telephone Number	:	720-830-4199

Provider Enumeration Date	:	02/18/2025
Last Update Date	:	02/18/2025

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Directions to “ASE MEDICAL CO PLLC ” Practice Location

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