NPI | 1629053608 |
---|---|
Doing Business As | WESTERN RESERVE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | LAURIE A SIMON Administrator 330-677-3292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0027AS) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2020-08-22 |