Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1922022425 |
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| LBN Legal business name | CASCADE SURGERY CENTER LLC | ||||||||||||
| Authorized official | DOUGLAS MERRITT - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/27/2006 | ||||||||||||
| Last updated | 02/08/2011 - About 15 years ago | ||||||||||||
| Identifiers |
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CASCADE SURGERY CENTER LLC
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