| NPI | 1447231287 |
|---|---|
| Doing Business As | ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANA M THEISEN Practice Administrator 330-455-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 0725AS) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-01-14 |