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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 |
| NPI # | 1881306033 |
| LBN Legal business name | COLORADO MEDICAL GROUP, PLLC |
| Authorized official | ALI WAZNI - (CHIEF ADMINISTRATION OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/20/2022 |
| Last updated | 12/14/2023 - About 2 years ago |
| Identifiers | n/a |
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COLORADO MEDICAL GROUP, PLLC
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COLORADO MEDICAL GROUP, PLLC