Organization
PINE SURGICAL INSTITUTE
Active
Other names
Pine Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS)
(480) 204-4593
Entity
Organization
Contact information
Practice address
10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124-6755
(480) 204-4593
Mailing address
10375 PARK MEADOWS DR STE 150, LONE TREE, CO 80124-6755
(480) 204-4593
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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