Organization
PUEBLO AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORICED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
25 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 544-1600
(866) 989-7184
Mailing address
25 MONTEBELLO RD, PUEBLO, CO 81001-1236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
09/13/2024
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