NPI 1376581793 · live from the CMS NPI Registry
1st Choice Surgical Services INC
Physician Assistant in Colorado Springs, CO. National Provider Identifier 1376581793, active.
NPI record
| NPI | 1376581793 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3550 Cragwood Pl, Colorado Springs, CO 80907 |
| Practice phone | 719-533-1433 |
| Mailing address | Po Box 673, Monument, CO 80132 |
| Enumerated | June 4, 2006 |
| Last updated | February 3, 2022 |
| Authorized official | Marc Johnson, President |
| Other names | Marc A Johnson Pac |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA1915 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.