Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Avalon Surgical PC

Organization Surgical Physician Assistant · NPI 1962896563

Avalon Surgical PC provides Surgical Physician Assistant services in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Colorado Blvd Ste 115
Denver, CO 80206-4084 Not confirmed with CMS for 11 years — call before visiting
Phone: (281) 324-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (CO)

Record details

NPI number1962896563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Diss — Registered Agent · (281) 324-5660
NPI enumeratedMarch 23, 2015
Last updated in NPPESMarch 23, 2015
Mailing addressPo Box 1288, Crosby, TX 77532-1288

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