Organization
FRONT RANGE ENDOSCOPY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAKTASHARAN C PATEL M.D. (PRESIDENT)
(719) 433-7224
Entity
Organization
Contact information
Practice address
719 N CASCADE AVE, COLORADO SPRINGS, CO 80903-3205
(719) 433-7224
(719) 433-7225
Mailing address
2920 N CASCADE AVE STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 955-0986
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16C871
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48781339
—
CO
Enumeration date
06/28/2007
Last updated
10/11/2019
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