| NPI | 1720227176 |
|---|---|
| Doing Business As | GEORGE THOMAS GRACE M.D. SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KEITH VANDER KOLK President/CEO 667-234-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1300) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2016-02-25 |