# ARKANSAS VALLEY SURGERY CENTER

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

## Provider details

- **NPI number:** 1255495990
- **Authorized official:** DR. ERIC C CARLSON M.D. (TREASURER)
- **Authorized official phone:** (719) 275-6433

## Contact information

- **Practice address:** 933 SELLS AVE, SUITE B, CANON CITY, CO 81212-4900
- **Practice address phone:** (719) 275-6433
- **Practice address fax:** (719) 275-7009
- **Mailing address:** 933 SELLS AVE, SUITE B, CANON CITY, CO 81212-4900
- **Mailing address phone:** (719) 275-6433
- **Mailing address fax:** (719) 275-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 162 | CO | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 11/13/2007