LANDER VALLEY AMBULATORY SURGERY CENTER LLC

LANDER, WY
NPI1457548711
Doing Business AsLANDER OUTPATIENT SURGICAL CENTER
Entity TypeOrganization
Authorized ContactDONALD J. BIVACCA
President
615-372-8500
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2007-10-01
Last Update Date2013-10-03
Business Address
LANDER VALLEY AMBULATORY SURGERY CENTER LLC
1320 BISHOP RANDALL DR
LANDER, WY 82520-3939
Phone number: 307-335-6565
Mailing Address
LANDER VALLEY AMBULATORY SURGERY CENTER LLC
103 POWELL CT
BRENTWOOD, TN 37027-5079
Phone number: 615-372-8500