| NPI | 1225803562 |
|---|---|
| Doing Business As | LEGENT OAK CREEK SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN FOWLER CEO 917-216-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-06-20 |