Provider First Line Business Practice Location Address:
575 RIVERGATE LANE
Provider Second Line Business Practice Location Address:
ANIMAS SURGICAL HOSPITAL ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
DURANGO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-375-6297
Provider Business Practice Location Address Fax Number:
970-385-1876
Provider Enumeration Date:
05/08/2006