NPI 1447703558

Surgical Specialists of Centennial

Organisation Surgical Physician Assistant Greenwood Village, CO

Practice location

Address: 5380 Autumn Dr, Greenwood Village, CO 80111-3424
Phone: (720) 974-2506
Mailing address: PO Box 4446, Parker, CO 80134-1451

Authorised official

Name: Zaki Ibrahim
Title: Owner/Physician
Phone: (720) 974-2506

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA-0001715 (CO)

Other Physician Assistant providers in Colorado →

Registry record

NPI: 1447703558
Entity type: Organization
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 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.