| NPI | 1710207998 |
|---|---|
| Doing Business As | CREEKSIDE SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | COLLEEN M BRIDGE Secretary, Board Of Managers 907-212-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AK PENDING) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |