Southern Colorado Vascular Surgery Pc

LBN: Southern Colorado Vascular Surgery Pc
Southern Colorado Vascular Surgery Pc is an health care organization with primary practice located at 2960 N Circle Dr Ste 115 , Colorado Springs CO 80909-1163. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Colorado Vascular Surgery Pc can be contacted via phone (719) 630-3465, or through Misare, Bruce Donald via phone (719) 630-3465.

Contact Information

Primary practice address
2960 N Circle Dr Ste 115 Colorado Springs CO 80909-1163
Phone: (719) 630-3465
Fax: (719) 630-3476
Website:
Map and Directions
Authorized official contact:
Name: Misare, Bruce Donald Doctor of Medicine (MD)
Phone: (719) 630-3465

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38531 Colorado

Profile Details

NPI number 1053463836
LBN Legal business name Southern Colorado Vascular Surgery Pc
DBA Doing business as
Authorized official Misare, Bruce Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 4th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053463836 NPPES
Colorado MEDICAID 36589365

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