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Organization
MADISON STREET SURGERY CENTER, LLC
Active
Organization
MADISON STREET SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L NEAL (CHIEF EXECUTIVE OFFICER)
(469) 214-0144
Entity
Organization
Contact information
Practice address
55 MADISON ST, 200, DENVER, CO 80206-5419
(303) 388-0599
(303) 388-9805
Mailing address
55 MADISON STREET, SUITE 200, DENVER, CO 80206-5419
(303) 377-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548219934
NPI
CO
Enumeration date
10/03/2006
Last updated
02/05/2020
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