Organization
THE SURGERY CENTER AT LONE TREE, LLC
Active
Parent organization
SPINE ONE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE ONE, INC.
Authorized official
DR. PERRY L. HANEY M.D. (MANAGING MEMBER)
(303) 367-2225
Entity
Organization
Contact information
Practice address
8500 PARK MEADOWS DRIVE, SUITE 100, LONE TREE, CO 80124
(303) 951-7510
(303) 951-7511
Mailing address
8500 PARK MEADOWS DRIVE, SUITE 100, LONE TREE, CO 80124
(303) 951-7510
(303) 951-7511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32744
STATE LICENSE NUMBER
CO
01
—
COB4070
MEDICARE PTAN
—
Enumeration date
01/15/2007
Last updated
06/19/2013
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