OrganizationActive
Colorado Medical Group, PLLC
NPI 1700573201 · Vascular Surgery Physician · Longmont, CO
Provider details
- NPI number
- 1700573201
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ali Wazni, Chief Medical Officer
Practice location
1551 Professional Ln Unit 240
Longmont, CO 80501-6967
Phone: (800) 991-6117
Mailing address
3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.