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NPI Code Detail

MEDICARE: ASCENT SURGERY CENTER, LLC

MEDICARE: ASCENT SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1861663098
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENT SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 5901 CORPORATE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1941
Country : US
Telephone Number : 719-598-7192
Fax Number : 719-634-2686
Provider Business Practice Location Address
First Line : 5901 CORPORATE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1941
Country : US
Telephone Number : 719-598-7192
Fax Number : 719-634-2686
Authorized Official
Title or Position : MEMBER
Name : GREGORY JOHN LIEBSCHER
Credential : M.D.
Telephone Number : 719-598-7192
Provider Enumeration Date : 03/15/2008
Last Update Date : 07/21/2011

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Directions to “ASCENT SURGERY CENTER, LLC ” Practice Location

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