Qualified Surgical Services Pllc

NPI #1770997603 in Lacey, Washington

Provider Information

NPI Number: 1770997603
Entity Type: Organization
Organization Name: Qualified Surgical Services Pllc
Primary Specialty: Surgery
Enumeration Date: Jun 18, 2014
Last Updated: Aug 16, 2016

Practice Location

Address: 3697 CAMERON DR NE
City: Lacey
State: Washington
ZIP Code: 98516
Phone: (973) 894-1263

Authorized Official

Name: BARRY A COHEN, MD
Title: MBR
Phone: (973) 826-8285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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