Healthcare Provider Details
I. General information
NPI: 1912235961
Provider Name (Legal Business Name): ARAPAHOE SURGERY CENTER., LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2009
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 INVERNESS DR E SUITE 150
ENGLEWOOD CO
80112-5137
US
IV. Provider business mailing address
125 INVERNESS DR E SUITE 150
ENGLEWOOD CO
80112-5137
US
V. Phone/Fax
- Phone: 303-792-0777
- Fax: 303-792-2777
- Phone: 303-792-0777
- Fax: 303-792-2777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DENNIS
VOLLMER
Title or Position: CEO
Credential: M.D.
Phone: 303-783-8844