| NPI | 1063984227 |
|---|---|
| Other Name | ALLEN COUNTY REGIONAL SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LARRY RAYMOND PETERSON CFO 620-365-1026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2020-07-14 |