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

St Vrain Surgical Assists, LLC

Organization Surgical Physician Assistant · NPI 1316056260

St Vrain Surgical Assists, LLC is a Surgical Physician Assistant in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

77 Baylor Dr
Longmont, CO 80503-2148
Phone: (303) 819-2025
Fax: (720) 494-0995
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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 · Licence 519 (CO)

Record details

NPI number1316056260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Parker — Owner/Mgr · (303) 819-2025
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 6, 2007
Mailing address77 Baylor Dr, Longmont, CO 80503-2148

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