NPI | 1316449168 |
---|---|
Doing Business As | EAST PAVILION SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE DUDLEY Chief Administrative Officer 971-339-7791 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2018-03-07 |
Last Update Date | 2019-07-16 |