Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1649748708 |
| LBN Legal business name | ANKENY MEDICAL PARK SURGERY CENTER LC |
| Authorized official | THOMAS MULROONEY - (BOARD OF MANAGERS MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/07/2018 |
| Last updated | 12/26/2018 - About 7 years ago |
| Identifiers | n/a |
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