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CENTER FOR SURGICAL SPECIALTIES PC NPI 1114934205


NPI Information

NPI: 1114934205
Provider Name: CENTER FOR SURGICAL SPECIALTIES, PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1706 PROSPECT DR
MACON, MO
ZIP 63552
Phone: (660) 385-1006
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CENTER FOR SURGICAL SPECIALTIES, PC is an ambulatory surgical clinic center in Macon, MO. CENTER FOR SURGICAL SPECIALTIES, PC NPI is 1114934205. The provider is registered as an organization entity type.

The provider's business location address is:

1706 PROSPECT DR
MACON, MO
ZIP 63552-615
Phone: (660) 385-1006
Fax: (660) 385-1028

The provider's authorized official is Donet Christopher Main .
The authorized official title is Owner and has the following contact phone number (660) 385-1006.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical110583MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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