Riverview Surgery Center LLC

NPI #1669748125 in Rockport, Indiana

Provider Information

NPI Number
1669748125
Entity Type
Organization
Organization Name
Riverview Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 29, 2012
Last Updated
Feb 5, 2014

Practice Location

Address
1276 N PLAZA DR
State
Indiana
ZIP Code
47635
Phone
(812) 649-2500

Authorized Official

Name
DR. SHANE DAVID BOLES, MD
Title
MD
Phone
(812) 644-2500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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