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Organization
MOUNTAIN VISTA ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization
MOUNTAIN VISTA ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WERNER (DIVISION PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
5890 W 13TH ST STE 102, GREELEY, CO 80634-4821
(970) 922-3844
(970) 703-9039
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0214
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607473700
DEPT OF LABOR
CO
05
—
79826776
—
CO
Enumeration date
03/28/2007
Last updated
04/16/2026
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