institution
Made Llc
Surgical Physician Assistant in Thornton, Colorado
NPI 1366784167

Made Llc is a Surgical Physician Assistant based in Thornton, CO and is specialized in Surgical. Made Llc practices in Thornton, CO. The NPI Number for Made Llc is 1366784167 and holds a License No. 1520 (Colorado).

The current practice location address for Made Llc is 1882 E 104Th Ave Unit 936, Thornton, CO and can be reached out via phone at 720-363-3145 and via fax at 720-381-6313.

Location: 1882 E 104Th Ave Unit 936, Thornton, CO, 80233-4336
institution
Provider Profile Details
NPI Number
1366784167
Provider Name
Made Llc
Credential
Provider Entity Type
Organization
Address
1882 E 104Th Ave Unit 936, Thornton, CO, 80233-4336
Phone Number
720-363-3145
Fax Number
720-381-6313
Provider Enumeration Date
03/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010801006 01 CO COLORADO DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
1882 E 104Th Ave Unit 936
City
State
Zip
80233-4336
Phone Number
720-363-3145
Fax Number
720-381-6313
person
Provider Business Mailing Address Details
Address
1882 E 104Th Ave Unit 936
City
State
Zip
80233-4336
Phone Number
720-363-3145
Fax Number
720-381-6313
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1520 (Colorado)
Definition
Definition to come...
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