Dodge City Asc LLC

NPI #1962660787 in Dodge City, Kansas

Provider Information

NPI Number
1962660787
Entity Type
Organization
Organization Name
Dodge City Asc LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 29, 2008
Last Updated
Jul 21, 2008

Practice Location

Address
2203 SUMMERLON CIR
State
Kansas
ZIP Code
67801-2985
Phone
(620) 408-9454

Authorized Official

Name
WILLIAM M. GRACEY
Title
CHIEF OPERATING OFFICER
Phone
(615) 372-8500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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