# RENEWAL SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yosemite Street Surgery Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508009564
- **Authorized official:** STACY DUCHANE (ADMINISTRATOR)
- **Authorized official phone:** (720) 475-8412

## Contact information

- **Practice address:** 9777 S YOSEMITE ST STE 210, LONE TREE, CO 80124-3115
- **Practice address phone:** (303) 708-2943
- **Practice address fax:** (720) 475-8485
- **Mailing address:** 9777 S YOSEMITE ST STE 210, LONE TREE, CO 80124-3115
- **Mailing address phone:** (303) 708-2943
- **Mailing address fax:** (720) 475-8485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16E991 | CO | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/27/2017