# DOCTORS SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1750386231
- **Authorized official:** DR. ALAN WYCHE BICKEL M.D. (CEO)
- **Authorized official phone:** (719) 545-6013

## Contact information

- **Practice address:** 4100 JERRY MURPHY RD, PUEBLO, CO 81001-1076
- **Practice address phone:** (719) 545-6013
- **Practice address fax:** (719) 545-2054
- **Mailing address:** 4100 JERRY MURPHY RD, PUEBLO, CO 81001-1076
- **Mailing address phone:** (719) 545-6013
- **Mailing address fax:** (719) 545-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 137 | CO | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 09/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00389 | BLU CROSS BLUE SHIELD | CO |
| 05 | — | 04510384 | — | CO |
| 01 | — | 490003790 | RAIL ROAD MEDICARE | CO |