Stateline Surgery Center, LLC

NPI #1841431376 in Galena, Kansas

Provider Information

NPI Number
1841431376
Entity Type
Organization
Organization Name
Stateline Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 12, 2009
Last Updated
Dec 16, 2009

Practice Location

Address
444 FOUR STATES DR
Address 2
SUITE 2
City
Galena
State
Kansas
ZIP Code
66739
Phone
(417) 206-7846

Authorized Official

Name
JENNIFER L MORRIS
Title
ADMINISTRATOR
Phone
(417) 625-9433

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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