Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1093895757 |
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| LBN Legal business name | PATRICK D REEVES MDPA | ||||||||
| Authorized official | PATRICK REEVES - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/17/2006 | ||||||||
| Last updated | 06/30/2008 - About 18 years ago | ||||||||
| Identifiers |
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