NPI | 1841507266 |
---|---|
Doing Business As | SOUTH PORTLAND SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-09-07 |
Last Update Date | 2022-08-30 |