Organization
CENTER OF SURGICAL EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BICKEL MD (PROVIDER)
(719) 542-1500
Entity
Organization
Contact information
Practice address
4100 JERRY MURPHY RD SUITE B, PUEBLO, CO 81001
(719) 542-1505
(719) 545-8626
Mailing address
4100 JERRY MURPHY RD SUITE B, PUEBLO, CO 81001
(719) 542-1505
(719) 545-8626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208800000X
Urology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49155041
—
CO
Enumeration date
01/30/2015
Last updated
07/21/2022
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