Lower Columbia Ambulatory Surgery Center
NPI #1710927553 in Longview, Washington
Provider Information
- NPI Number
- 1710927553
- Entity Type
- Organization
- Organization Name
- Lower Columbia Ambulatory Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Feb 29, 2008
Practice Location
- Address
- 820 11TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2402
- Phone
- (360) 423-0960
Authorized Official
- Name
- ALEXANDER IEROKOMOS, MD
- Title
- OWNER
- Phone
- (360) 423-0960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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