NPI | 1891406328 |
---|---|
Doing Business As | CLEVELAND SURGICAL SUITES |
Entity Type | Organization |
Authorized Contact | MONICA COOPER Provider Enrollment Supervisor 636-200-4393 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2022-12-06 |
Last Update Date | 2022-12-06 |