NPI | 1245862002 |
---|---|
Doing Business As | QUINCY MEDICAL GROUP SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-02-10 |
Last Update Date | 2021-12-20 |