Organization
PUEBLO CO OPHTHALMOLOGY ASC LLC
Active
Other names
Rocky Mountain Laser & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1402 FORTINO BLVD, PUEBLO, CO 81008-2033
(719) 583-8700
(719) 583-9700
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 263-4011
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
208
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90488032
—
CO
Enumeration date
02/16/2006
Last updated
09/23/2025
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