Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1649447582 |
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| LBN Legal business name | WRIGHT STATE PHYSICIANS INC | ||||||||||||||||||||
| Authorized official | CHERYL SAVAKINAS - (CREDENTIALING COORDINATOR) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||
| Enumeration date | 05/09/2008 | ||||||||||||||||||||
| Last updated | 12/19/2013 - About 12 years ago | ||||||||||||||||||||
| Identifiers |
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WRIGHT STATE PHYSICIANS INC
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