Civista Clinical Services, L.l.c.

NPI #1447450176 in La Plata, Maryland

Provider Information

NPI Number: 1447450176
Entity Type: Organization
Organization Name: Civista Clinical Services, L.l.c.
Subpart: Yes (part of a larger organization)
Parent Organization: CIVISTA CARE PARTNERS, INC.
Primary Specialty: Hospitalist
Enumeration Date: Jul 20, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 701 CHARLES ST
City: La Plata
State: Maryland
ZIP Code: 20646-5930
Phone: (301) 609-4000

Authorized Official

Name: GARY HERBEK
Title: SVP COO
Phone: (301) 609-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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Organizations

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