NPI | 1962405803 |
---|---|
Doing Business As | MID RIVERS SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER HARTSHORN Officer/AO 314-800-2017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 175) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2024-10-11 |