NPI | 1932162195 |
---|---|
Doing Business As | COVENANT HIGH PLAINS SURGERY CENTER - QUAKER AVENUE |
Entity Type | Organization |
Authorized Contact | SHON SANDERS Authorized Official 610-644-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 006930) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2023-06-07 |