Organization
LONGMONT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MANION MD (PRESIDENT)
(303) 682-0375
Entity
Organization
Contact information
Practice address
2030 W MOUNTAIN VIEW AVE, # 100, LONGMONT, CO 80501
(303) 682-0375
(303) 682-0593
Mailing address
2030 W MOUNTAIN VIEW AVE, # 100, LONGMONT, CO 80501
(303) 682-0375
(303) 682-0593
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510327
—
CO
Enumeration date
11/09/2006
Last updated
08/05/2009
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