NPI: 1508009564
Provider Name: RENEWAL SURGERY CENTER, LLC
Former Legal Business Name: YOSEMITE STREET SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
9777 S YOSEMITE ST STE 210
LONE TREE, CO
ZIP 80124
Phone: (303) 708-2943
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RENEWAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lone Tree, CO. RENEWAL SURGERY CENTER, LLC NPI is 1508009564. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Yosemite Street Surgery Center, Llc.
The provider's business location address is:
9777 S YOSEMITE ST STE 210
LONE TREE, CO
ZIP 80124-115
Phone: (303) 708-2943
Fax: (720) 475-8485
The provider's authorized official is Stacy Duchane .
The authorized official title is Administrator and has the following contact phone number (720) 475-8412.
The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/27/2017.