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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRINA VIGDOROVA

Active Sole Proprietor

Ambulatory Surgical Center · LONE TREE, CO

Registration Details

NPI Number
1730611922
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2017 (9.066697978575 yrs)
Last Updated
Mar 28, 2017
License
RN.0170203 (CO)
Sole Proprietor
Yes

Practice Information

Address
10240 PARK MEADOWS DR
LONE TREE, CO, 801245425
Browse CO providers · Browse ZIP 80124
Phone
3033384545
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.