Organization · Type 2 NPI
Made LLC
Surgical Physician Assistant · Thornton, CO
NPI number
1366784167
Active
Practice location
1882 E 104th Ave Unit 936
Thornton, CO 80233-4336
Fax (720) 381-6313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1520 (CO) |
Surgical Physician Assistant: Definition to come...
About NPI 1366784167
Made LLC's National Provider Identifier is 1366784167, issued on Mar 20, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Thornton, CO. The record was last updated on Mar 20, 2013.