Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1063646594 |
| LBN Legal business name | ADVANCED SURGERY INSTITUTE, LLC |
| Authorized official | JEFF SIMMONS - (BOARD MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/12/2009 |
| Last updated | 05/12/2009 - About 17 years ago |
| Identifiers | n/a |
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