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Organization

SOUTHERN WAY SURGICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT COMEAUX SA (OWNER)
(281) 462-1285
Entity
Organization

Contact information

Practice address
200 S WILCOX ST STE 428, CASTLE ROCK, CO 80104-1913
(281) 462-1285
(281) 462-1554
Mailing address
200 S WILCOX ST STE 428, CASTLE ROCK, CO 80104-1913
(281) 462-1285
(281) 462-1554

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044201
CO

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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