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Organization
VALLEY SURGICAL
Active
Organization
VALLEY SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH J. ALLAN M.D. (PRESIDENT)
(970) 949-3350
Entity
Organization
Contact information
Practice address
105 EDWARDS VILLAGE BLVD, SUITE A203, EDWARDS, CO 81632-9914
(970) 949-3350
(970) 797-1245
Mailing address
8135 N MILWAUKEE AVE, NILES, IL 60714-2828
(847) 967-8098
(847) 967-8594
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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