| NPI | 1508813627 |
|---|---|
| Doing Business As | FOUR STATES SURGERY CENTER, |
| Entity Type | Organization |
| Authorized Contact | MINDY RANDLES Director Of Rev Cycle 417-887-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 157-1) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-02-27 |