Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1780641225 |
| LBN Legal business name | ENDOSCOPY CENTER WEST LLC |
| Authorized official | RICHARD SHARFF - (VP/SECRETARY) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/27/2006 |
| Last updated | 06/01/2009 - About 17 years ago |
| Identifiers | n/a |
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