Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1598275703 |
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| LBN Legal business name | LIBERTY ENDOSCOPY CENTER | ||||
| Authorized official | SCOTT MONTGOMERY - (OFFICER/AO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/03/2017 | ||||
| Last updated | 04/24/2026 - About 1 months ago | ||||
| Identifiers |
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