Premier Surgical Center, LLC

NPI #1417228370 in Evanston, Wyoming

Provider Information

NPI Number
1417228370
Entity Type
Organization
Organization Name
Premier Surgical Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 24, 2012
Last Updated
Mar 26, 2012

Practice Location

Address
195 OVERTHRUST ROAD
State
Wyoming
ZIP Code
82930
Phone
(307) 444-3600

Authorized Official

Name
MR. STEPHEN C SHEPPARD
Title
ADMINISTRATOR
Phone
(417) 889-2040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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