NPI | 1205030731 |
---|---|
Former Legal Business Name | PIERCE STREET SAME DAY SURGERY, LC |
Entity Type | Organization |
Authorized Contact | CRAIG BRYAN Chief Executive Officer 712-294-8911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2007-06-11 |
Last Update Date | 2019-11-18 |