Organization
RENEWAL SURGERY CENTER, LLC
Active
Other names
Yosemite Street Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACY DUCHANE (ADMINISTRATOR)
(720) 475-8412
Entity
Organization
Contact information
Practice address
9777 S YOSEMITE ST STE 210, LONE TREE, CO 80124-3115
(303) 708-2943
(720) 475-8485
Mailing address
9777 S YOSEMITE ST STE 210, LONE TREE, CO 80124-3115
(303) 708-2943
(720) 475-8485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16E991
CO
Other
Enumeration date
04/07/2009
Last updated
04/27/2017
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