Ambulatory Surgery Center LLC

NPI #1639142706 in Paducah, Kentucky

Provider Information

NPI Number
1639142706
Entity Type
Organization
Organization Name
Ambulatory Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 9, 2006
Last Updated
Oct 5, 2011

Practice Location

Address
2831 LONE OAK RD
ZIP Code
42003-8041
Phone
(270) 554-8373

Authorized Official

Name
LAXMAIAH MANCHIKANTI, M.D.
Title
MEDICAL DIRECTOR
Phone
(270) 554-8373

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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