| NPI | 1629300512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETLEY TODD SITZMAN Board Chairman, Bellevue Surgery Ce 601-466-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |