Lander Valley Ambulatory Surgery Center LLC

NPI #1457548711 in Lander, Wyoming

Provider Information

NPI Number
1457548711
Entity Type
Organization
Organization Name
Lander Valley Ambulatory Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 1, 2007
Last Updated
Oct 3, 2013

Practice Location

Address
1320 BISHOP RANDALL DR
City
Lander
State
Wyoming
ZIP Code
82520-3939
Phone
(307) 335-6565

Authorized Official

Name
DONALD J. BIVACCA
Title
PRESIDENT
Phone
(615) 372-8500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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