Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1205030731 |
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| LBN Legal business name | PIERCE STREET SAME DAY SURGERY, LC | ||||||||
| Authorized official | CRAIG BRYAN - (CHIEF EXECUTIVE OFFICER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/11/2007 | ||||||||
| Last updated | 01/14/2026 - About 5 months ago | ||||||||
| Identifiers |
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