NPI 1215220041

Independent Surgical Assisting, INC

Organisation Specialist Longmont, CO

Practice location

Address: 205 S Main St STE D, Longmont, CO 80501-1714
Phone: (281) 462-1285
Mailing address: PO Box 838, Morrison, CO 80465-0838

Authorised official

Name: Victor Martinez
Title: Owner
Phone: (281) 462-1285

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1215220041
Entity type: Organization
NPI issued: 26 May 2011
Record last updated: 26 May 2011

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.