| Organization Name: | VAIL VALLEY SURGERY CENTER, LLC |
| NPI Number: | 1003944125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE A DEVERIC (DIRECTOR) |
| Mailing Address: | 181 W Meadow Dr # 3r Vail |
| State: | CO US |
| Postal Code: | 816575242 |
| Phone Number: | 9704768200 |
| Fax Number: | 9704778215 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 04/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |