Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Colorado Vascular Surgery PC

Organization Specialist · NPI 1053463836

Southern Colorado Vascular Surgery PC is a Specialist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
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

2960 N Circle Dr Ste 115
Colorado Springs, CO 80909-1163
Phone: (719) 630-3465
Fax: (719) 630-3476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 38531 (CO)

Record details

NPI number1053463836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Misare — Physician · (719) 630-3465
NPI enumeratedJanuary 18, 2007
Last updated in NPPESDecember 4, 2009
Mailing address2960 N Circle Dr Ste 115, Colorado Springs, CO 80909-1163

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