NPI | 1144275629 |
---|---|
Doing Business As | PARKVIEW SOUTHWEST SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JEANNE WICKENS Administrator 260-266-9313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN PENDING) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2022-01-26 |