| NPI | 1619948288 |
|---|---|
| Doing Business As | CANYON SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRADLEY MUDGE Physician 570-723-0716 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-01-08 |