Organization Name:  DOCTORS SURGERY CENTER INC


Practice Location:
4100 JERRY MURPHY RD  PUEBLO, CO 81001 US
Tel: 719-545-6013  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	CO	137

Other Provider Identifiers:

Issuer	Number	State	Type
RAIL ROAD MEDICARE	490003790	CO	01
	04510384	CO	05
BLU CROSS BLUE SHIELD	00389	CO	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin