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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