Healthcare Provider Details

I. General information

NPI: 1295745925
Provider Name (Legal Business Name): ERIC S SURREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10290 RIDGEGATE CIR
LONE TREE CO
80124-5331
US

IV. Provider business mailing address

10290 RIDGEGATE CIR
LONE TREE CO
80124-5331
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-8300
  • Fax: 303-788-8310
Mailing address:
  • Phone: 303-788-8300
  • Fax: 303-788-8310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number37679
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: