Organization
SURGICAL ASSISTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE STRATTON CORENMAN CRNFA (REGISTERED NURSE)
(979) 376-4153
Entity
Organization
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 376-4153
Mailing address
PO BOX 959, EDWARDS, CO 81632-0959
(979) 376-4153
(970) 926-5764
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
106668
CO
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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