Black Canyon Surgical Center, LLC

NPI #1578515367 in Montrose, Colorado

Provider Information

NPI Number
1578515367
Entity Type
Organization
Organization Name
Black Canyon Surgical Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 17, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
611 E. STAR CT.
Address 2
SUITE C
ZIP Code
81401-6701
Phone
(970) 249-6842

Authorized Official

Name
MR. JOHN PHILLIP HARPER
Title
ADMINISTRATOR
Phone
(970) 249-6842

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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