Longmont-Mountain View Surgery Center LLC

NPI #1780130252 in Longmont, Colorado

Provider Information

NPI Number
1780130252
Entity Type
Organization
Organization Name
Longmont-Mountain View Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 25, 2016
Last Updated
Nov 27, 2017

Practice Location

Address
2030 MOUNTAIN VIEW AVE
Address 2
SUITE 100
ZIP Code
80501-3178
Phone
(972) 763-3893

Authorized Official

Name
JENETHA D MORAN
Title
OFFICER / AUTHORIZED OFFICIAL
Phone
(972) 763-3893

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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