Pine Grove Ambulatory Surgical
NPI #1689860124 in Russell, Pennsylvania
Provider Information
- NPI Number
- 1689860124
- Entity Type
- Organization
- Organization Name
- Pine Grove Ambulatory Surgical
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Feb 19, 2008
Practice Location
- Address
- 10 TIMBERVIEW LANE
- City
- Russell
- State
- Pennsylvania
- ZIP Code
- 16345
- Phone
- (814) 757-5819
Authorized Official
- Name
- MRS. EMILEE S LANGER, MPH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (814) 688-0426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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