Organization
COLORADO SURGICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY W RENEHAN MD,DDS (PRESIDENT)
(719) 540-6350
Entity
Organization
Contact information
Practice address
640 SOUTHPOINTE CT, 150, COLORADO SPRINGS, CO 80906-3856
(719) 540-6350
(719) 527-9487
Mailing address
640 SOUTHPOINTE CT, 150, COLORADO SPRINGS, CO 80906-3856
(719) 540-6350
(719) 527-9487
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8508
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49086804
—
CO
Enumeration date
03/21/2008
Last updated
03/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us