Organization Name: | ASCENT MEDICAL CONSULTANTS, LLC |
NPI Number: | 1043607997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN POTTENGER (CEO) |
Mailing Address: | 9351 Grant St Suite 100 Thornton |
State: | CO US |
Postal Code: | 802294358 |
Phone Number: | 3038273158 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2015 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DR0032707 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |