Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1922444520 |
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| LBN Legal business name | KURT G VERNON MD PA | ||||||||||||||||
| Authorized official | KURT VERNON - (MEDICAL DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/22/2013 | ||||||||||||||||
| Last updated | 07/09/2013 - About 13 years ago | ||||||||||||||||
| Identifiers |
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