NPI | 1417515677 |
---|---|
Doing Business As | USA SURGERY - COLON RECTAL |
Entity Type | Organization |
Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
Enumeration Date | 2019-06-03 |
Last Update Date | 2019-06-03 |