Organization
COLORADO UROLOGIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
3 SUPERIOR DR STE 301, SUPERIOR, CO 80027-8655
(443) 738-2889
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(469) 872-4706
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
09/18/2024
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