NPI 1053463836

Southern Colorado Vascular Surgery PC

Organisation Specialist Colorado Springs, CO

Practice location

Address: 2960 N Circle Dr STE 115, Colorado Springs, CO 80909-1163
Phone: (719) 630-3465
Fax: (719) 630-3476

Authorised official

Name: Bruce Donald Misare
Title: Physician
Phone: (719) 630-3465

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 38531 (CO)

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Registry record

NPI: 1053463836
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 4 Dec 2009

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.