Organization
MOUNTAIN VISTA ORTHOPAEDIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WERNER (DIVISION PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
5890 W 13TH ST STE 102, GREELEY, CO 80634-4821
(970) 922-3844
(970) 703-9039
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0214
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607473700
DEPT OF LABOR
CO
05
—
79826776
—
CO
Enumeration date
03/28/2007
Last updated
04/16/2026
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