| NPI | 1174705628 |
|---|---|
| Doing Business As | SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | VINCENT EDWARD SULLIVAN Owner 641-437-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 18213) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |