Organization
THE SURGERY CENTER AT PARK MEADOWS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J MCNALLY (ADMINISTRATOR)
(303) 799-6465
Entity
Organization
Contact information
Practice address
9218 KIMMER DR, LONE TREE, CO 80124-6732
(303) 799-6465
(303) 799-0556
Mailing address
9218 KIMMER DR, LONE TREE, CO 80124-6733
(303) 799-6465
(303) 799-0556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0279
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50837737
—
CO
01
—
668152
ANTHEM BLUE CROSS
CO
Enumeration date
02/22/2006
Last updated
08/22/2020
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