# VALLEY SURGICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235334517
- **Authorized official:** KENNETH J. ALLAN M.D. (PRESIDENT)
- **Authorized official phone:** (970) 949-3350

## Contact information

- **Practice address:** 105 EDWARDS VILLAGE BLVD, SUITE A203, EDWARDS, CO 81632-9914
- **Practice address phone:** (970) 949-3350
- **Practice address fax:** (970) 797-1245
- **Mailing address:** 8135 N MILWAUKEE AVE, NILES, IL 60714-2828
- **Mailing address phone:** (847) 967-8098
- **Mailing address fax:** (847) 967-8594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 08/22/2020
