Organization
CANON CITY CO MULTI SPECIALTY ASC LLC
Active
Other names
Arkansas Valley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
933 SELLS AVE, SUITE B, CANON CITY, CO 81212-4900
(719) 275-6433
Mailing address
1A BURTON HILLS BLVD, ATTN: LICENSURE AND CERTIFICATION DEPT, NASHVILLE, TN 37215-6187
(615) 263-4011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16J165
CO
Other
Enumeration date
06/08/2009
Last updated
01/05/2023
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