MEDICARE: COLORADO SURGICAL AFFILIATES

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	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1821931684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO SURGICAL AFFILIATES

Provider Business Mailing Address
First Line	:	2373 G RD STE 220
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1003
Country	:	US
Telephone Number	:	970-243-3456
Fax Number	:	970-245-8369

Provider Business Practice Location Address
First Line	:	2373 G RD STE 220
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1003
Country	:	US
Telephone Number	:	970-243-3456
Fax Number	:	970-245-8369

Authorized Official
Title or Position	:	OWNER
Name	:	GARTH SHERMAN
Credential	:	MD
Telephone Number	:	970-243-3061

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/30/2026

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