NPI 1003184821

Glacier Acute Surgery Professional LLC

Organisation Surgery Physician Thornton, CO

Practice location

Address: 9351 Grant St STE 400, Thornton, CO 80229-4358
Phone: (303) 452-0059
Mailing address: PO Box 11065, Boulder, CO 80301-0001

Authorised official

Name: Isabelle Audet
Title: Owner
Phone: (303) 452-0059

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 49355 (CO)

Other Surgery providers in Colorado →

Registry record

NPI: 1003184821
Entity type: Organization
NPI issued: 7 Dec 2011
Record last updated: 17 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.