# PUEBLO AMBULATORY SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1639134505
- **Authorized official:** CHRISTOPHER HARTSHORN (OFFICER/AUTHORICED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 25 MONTEBELLO RD, PUEBLO, CO 81001-1236
- **Practice address phone:** (719) 544-1600
- **Practice address fax:** (866) 989-7184
- **Mailing address:** 25 MONTEBELLO RD, PUEBLO, CO 81001-1236

## Taxonomy

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

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 09/13/2024