Northeast Missouri Ambulatory Surgery Center LLC

NPI #1710982699 in Hannibal, Missouri

Provider Information

NPI Number
1710982699
Entity Type
Organization
Organization Name
Northeast Missouri Ambulatory Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 16, 2005
Last Updated
Oct 21, 2010

Practice Location

Address
98 MEDICAL DRIVE
ZIP Code
63401
Phone
(573) 406-1301

Authorized Official

Name
MATTHEW JOHNSON
Title
ADMINISTRATOR
Phone
(573) 406-1301

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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