| NPI | 1336128479 |
|---|---|
| Doing Business As | BEAVERCREEK SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY GAULT Administrator 937-458-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0558AS) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-22 |