Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1447575519 |
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| LBN Legal business name | A&M ENDEAVORS LLC SERIES 2, FERTILITY CARE IVF DIVISION | ||||
| Authorized official | MARK TROLICE - (PHYSICIAN/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/01/2010 | ||||
| Last updated | 04/01/2010 - About 16 years ago | ||||
| Identifiers |
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