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Organization
CANON CITY CO MULTI SPECIALTY ASC LLC
Active
Organization
CANON CITY CO MULTI SPECIALTY ASC LLC
Active
Other names
Arkansas Valley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
933 SELLS AVE, SUITE B, CANON CITY, CO 81212-4900
(719) 275-6433
Mailing address
1A BURTON HILLS BLVD, ATTN: LICENSURE AND CERTIFICATION DEPT, NASHVILLE, TN 37215-6187
(615) 263-4011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16J165
CO
Other
Enumeration date
06/08/2009
Last updated
01/05/2023
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