Canon City Co Multi Specialty Asc LLC
NPI #1750517561 in Canon City, Colorado
Provider Information
- NPI Number
- 1750517561
- Entity Type
- Organization
- Organization Name
- Canon City Co Multi Specialty Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 8, 2009
- Last Updated
- Jan 5, 2023
Practice Location
- Address
- 933 SELLS AVE
- Address 2
- SUITE B
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4900
- Phone
- (719) 275-6433
Authorized Official
- Name
- MR. JEFFREY SNODGRASS
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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