Southwest Surgical Associates PC
Surgery in Durango, CO. Organization (NPI-2).
NPI number1962429902
StatusActive
Last updated in NPPESJul 10, 2008
Details
- NPI
- 1962429902
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Surgical Associates PC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Last updated
- Jul 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
1 Mercado St # 220Durango, CO 81301-7300
Phone 970-247-4448 · Fax 970-382-6607
Mailing address
1 Mercado St # 220Durango, CO 81301-7300
Phone 970-247-4448 · Fax 970-382-6607
Authorized official
David C Deaver
President
9702474448
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