Provider Demographics
NPI:1730546532
Name:COLORADO ASSISTING LLC
Entity type:Organization
Organization Name:COLORADO ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLAVO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:720-638-7500
Mailing Address - Street 1:5856 S LOWELL BLVD UNIT 32-408
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7915
Mailing Address - Country:US
Mailing Address - Phone:720-638-7500
Mailing Address - Fax:
Practice Address - Street 1:5856 S LOWELL BLVD UNIT 32-408
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7915
Practice Address - Country:US
Practice Address - Phone:720-638-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty