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Organization
VAIL VALLEY SURGERY CENTER, LLC
Active
Organization
VAIL VALLEY SURGERY CENTER, LLC
Active
Other names
Vail Valley Surgery Center Vail
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE A DEVERIC (DIRECTOR)
(970) 476-8202
Entity
Organization
Contact information
Practice address
181 W MEADOW DR # 3R, VAIL, CO 81657-5242
(970) 476-8200
(970) 477-8215
Mailing address
PO BOX 1270, VAIL, CO 81658-1270
(970) 477-8200
(970) 477-8215
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0704
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67801731
—
CO
Enumeration date
03/01/2007
Last updated
04/12/2012
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