| Colorado Facial Surgery Partners | |
|
8300 W 38th Ave Wheat Ridge CO 80033-6005 | |
| (303) 425-4500 | |
| Not Available |
| Full Name | Colorado Facial Surgery Partners |
|---|---|
| Speciality | Physician Assistant |
| Location | 8300 W 38th Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Abraham Benjamin White (PRESIDENT) |
| Authorized Official Contact | 7202090560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Facial Surgery Partners 834 S Lewis St Lakewood CO 80226-3926 Ph: (720) 209-0560 | Colorado Facial Surgery Partners 8300 W 38th Ave Wheat Ridge CO 80033-6005 Ph: (303) 425-4500 |
| NPI Number | 1003538042 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 1355717968 |
|---|---|
| Medicare Enrollment ID | O20221024001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003538042 | NPI | - | NPPES |
| Provider Name | William J Martin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710042023 PECOS PAC ID: 5294763710 Enrollment ID: I20130619000323 |
| Provider Name | David Michael Kowalczyk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437599842 PECOS PAC ID: 0244554137 Enrollment ID: I20200818003330 |
| Provider Name | Travis J Hamilton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164712022 PECOS PAC ID: 4688904972 Enrollment ID: I20220927000205 |
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