| NPI | 1487012480 |
|---|---|
| Doing Business As | SPIVEY STATION SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Chief Compliance Counsel 909-235-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 031127) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |