OrganizationActive
Avalon Surgical PC
NPI 1962896563 · Surgical Physician Assistant · Denver, CO
Provider details
- NPI number
- 1962896563
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Fred Diss, Registered Agent
Practice location
700 Colorado Blvd
Ste 115
Denver, CO 80206-4084
Phone: (281) 324-5660
Mailing address
Po Box 1288
Crosby, TX 77532-1288
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2015-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.