NPI | 1730292418 |
---|---|
Doing Business As | FAIR PARK SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | DAVID R ROZAS Medical Director 501-664-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-08-22 |