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Contact Information

SURGICAL SPECIALISTS OF COLORADO PLLC
10103 RIDGEGATE PKWY STE 309
LONE TREE, CO80124-5525
 Phone: 720-616-7835
 Fax: 303-736-4226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for SURGICAL SPECIALISTS OF COLORADO PLLC · (Female)

NPI # 1487026951
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2015
Last updated 04/08/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # DR47517
  • CO Medicaid 9000171312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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