CENTRIC OUTPATIENT CATH LAB LLC

MOBERLY, MO
NPI1306340997
Entity TypeOrganization
Authorized ContactSANJEEV DHARI RAVIPUDI
Owner
626-394-6299
Organization Subpart ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: MO  2002015751)
Enumeration Date2018-03-20
Last Update Date2018-03-20
Business Address
CENTRIC OUTPATIENT CATH LAB LLC
2103 SILVA LN
MOBERLY, MO 65270-3660
Phone number: 660-616-0022
Mailing Address
CENTRIC OUTPATIENT CATH LAB LLC
2103 SILVA LN
MOBERLY, MO 65270-3660
Phone number: 660-616-0022