# FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CENTER,LLC

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

## Provider details

- **NPI number:** 1891186987
- **Authorized official:** DR. DAVID VANSICKLE MD (OWNER)
- **Authorized official phone:** (720) 339-3283

## Contact information

- **Practice address:** 11 W DRY CREEK CIR, SUITE 120, LITTLETON, CO 80120-8077
- **Practice address phone:** (303) 955-5555
- **Practice address fax:** (720) 463-1090
- **Mailing address:** 11 W DRY CREEK CIR, SUITE 120, LITTLETON, CO 80120-8077
- **Mailing address phone:** (303) 955-5555
- **Mailing address fax:** (720) 463-1090

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 04/24/2025