Organization
SOUTHWEST HEALTH SYSTEM, INC.
Active
Other names
Four Corners Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SUDDUTH (CEO)
(970) 564-2150
Entity
Organization
Contact information
Practice address
111 N PARK ST, CORTEZ, CO 81321
(970) 565-6670
(970) 565-6673
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2152
(970) 564-2155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR0039709
CO
Other
Enumeration date
02/07/2013
Last updated
06/06/2018
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