Organization
GOLDEN RIDGE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODIE R GARROBO ADMINISTRATOR (ADMINISTRATOR)
(303) 963-1507
Entity
Organization
Contact information
Practice address
660 GOLDEN RIDGE RD STE 110, GOLDEN, CO 80401-9541
(303) 963-1500
(303) 963-1547
Mailing address
660 GOLDEN RIDGE RD STE 110, GOLDEN, CO 80401-9541
(303) 963-1500
(303) 963-1547
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
160461
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55538339
—
CO
Enumeration date
05/27/2005
Last updated
08/12/2016
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