Organization
OUTPATIENT SURGICAL RECOVERY SUITES OF COLORADO
Active
Parent organization
CORONADO SURGICAL LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORONADO SURGICAL LLC.
Authorized official
DR. MICHEAL JAMES CROVETTI JR. D.O. (OWNER/PRESIDENT)
(702) 990-2290
Entity
Organization
Contact information
Practice address
9777 S YOSEMITE ST, SUITE 220, LONE TREE, CO 80124-3191
(702) 990-2290
(702) 932-8377
Mailing address
2779 W HORIZON RIDGE PKWY, SUITE 200, HENDERSON, NV 89052-4184
(702) 990-2290
(702) 932-8377
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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