Civista Clinical Services, LLC

NPI #1366269623 in La Plata, Maryland

Provider Information

NPI Number
1366269623
Entity Type
Organization
Organization Name
Civista Clinical Services, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CIVISTA CLINICAL SERVICES, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 26, 2024
Last Updated
Sep 26, 2024

Practice Location

Address
101 CENTENNIAL ST STE E
ZIP Code
20646-5976
Phone
(301) 392-0525

Authorized Official

Name
ALBERT ZANGER
Title
CHIEF FINANCIAL OFFICER
Phone
(301) 609-5163

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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