NPI | 1245331669 |
---|---|
Doing Business As | PREMIERE SURGICAL |
Entity Type | Organization |
Authorized Contact | SHERRY A DEAN Practice Manager 570-963-1740 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2006-09-26 |
Last Update Date | 2012-10-25 |