Organization
SOUTHWEST COLORADO SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G RAINER JR. MD (MEDICAL DIRECTOR)
(970) 565-1400
Entity
Organization
Contact information
Practice address
20 S BEECH ST, CORTEZ, CO 81321-3744
(970) 565-1400
(970) 564-1655
Mailing address
20 S BEECH ST, CORTEZ, CO 81321-3744
(970) 565-1400
(970) 564-1655
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2006
Last updated
01/05/2010
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