| Precision Plastic And Hand Surgery Llc | |
|
2801 Youngfield St Suite 371 Golden CO 80401-2263 | |
| (702) 491-0622 | |
| Not Available |
| Full Name | Precision Plastic And Hand Surgery Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2801 Youngfield St, Golden, Colorado |
| Authorized Official Name and Position | Christopher Pell Fender (PRESIDENT) |
| Authorized Official Contact | 7204910622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Plastic And Hand Surgery Llc 2801 Youngfield St Suite 371 Golden CO 80401-2263 Ph: (702) 491-0622 | Precision Plastic And Hand Surgery Llc 2801 Youngfield St Suite 371 Golden CO 80401-2263 Ph: (702) 491-0622 |
| NPI Number | 1508287442 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 1557580909 |
|---|---|
| Medicare Enrollment ID | O20140917000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508287442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 51038 (Colorado) | Primary |
| Provider Name | Cara Grady Kellstrom |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477506368 PECOS PAC ID: 5496943011 Enrollment ID: I20101227000469 |
| Provider Name | Christopher Pell Fender |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952311284 PECOS PAC ID: 7113073453 Enrollment ID: I20131025000676 |
| Provider Name | Seth Tebockhorst |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639312192 PECOS PAC ID: 4688816507 Enrollment ID: I20190905001013 |
| Provider Name | Adam Scott Levy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215226311 PECOS PAC ID: 1153752894 Enrollment ID: I20210514001142 |
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