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Organization
MIDVALLEY AMBULATORY SURGERY CENTER LLC
Active
Organization
MIDVALLEY AMBULATORY SURGERY CENTER LLC
Active
Other names
Midvalley Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK I. PURNELL MD (MEDICAL DIRECTOR)
(970) 544-1360
Entity
Organization
Contact information
Practice address
1450 E VALLEY RD, SUITE 202, BASALT, CO 81621-8304
(970) 544-1360
(970) 544-1387
Mailing address
1450 E VALLEY RD, SUITE 202, BASALT, CO 81621-8304
(970) 544-1360
(970) 544-1387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0563
CO
Other
Enumeration date
04/13/2006
Last updated
10/06/2015
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