Kokomo Ambulatory Surgery Center

NPI #1609376409 in Kokomo, Indiana

Provider Information

NPI Number
1609376409
Entity Type
Organization
Organization Name
Kokomo Ambulatory Surgery Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 19, 2018
Last Updated
Feb 19, 2018

Practice Location

Address
107 S WASHINGTON ST STE A
City
Kokomo
State
Indiana
ZIP Code
46901-4601
Phone
(765) 450-6735

Authorized Official

Name
SHAZIA M SIDDIQUI, MD
Title
OWNER
Phone
(765) 450-6735

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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