Organization
ASC LONE TREE LLC
Active
Other names
ICON Surgery Center of Denver
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ELLISON (CEO)
(720) 273-7449
Entity
Organization
Contact information
Practice address
10520 EL DIENTE CT, ENGLEWOOD, CO 80112-2656
(720) 524-1001
(720) 524-1121
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(303) 800-2078
(303) 800-2078
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/20/2020
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