BLACK RIVER AMBULATORY SURGERY CENTER, LLC

Clinic/Center - Ambulatory Surgical

Active Organization
NPI: 1770149304

Practice Address

219 PHYSICIANS PARK
Poplar Bluff, MO 63901

Phone: (573) 609-2444

Specialties

Specialty Code Primary License
Clinic/Center - Multi-Specialty 261QM1300X No -
Clinic/Center - Ambulatory Surgical 261QA1903X Yes -

Frequently Asked Questions

NPI 1770149304 is the National Provider Identifier for BLACK RIVER AMBULATORY SURGERY CENTER, LLC, a Clinic/Center - Ambulatory Surgical provider located in Poplar Bluff, MO. This NPI was enumerated on May 20, 2019.

Quick Facts

NPI
1770149304
Type
Organization
Enumerated
May 20, 2019
Last Updated
May 20, 2019

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