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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1053928234 |
| LBN Legal business name | COLORADO MEDICAL GROUP, PLLC |
| Authorized official | GRACE SIMMONS - (CREDENTIALING DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/30/2020 |
| Last updated | 07/24/2023 - About 3 years ago |
| Identifiers | n/a |
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COLORADO MEDICAL GROUP, PLLC
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COLORADO MEDICAL GROUP, PLLC