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INDEPENDENCE ASC LLC

Surgery Yellow Pages

Independence, Missouri

Provider NPI: 1407828494

Organization Information:
Organization Name:  INDEPENDENCE ASC LLC


Practice Location:
3800 S WHITNEY AVE SUITE 100 INDEPENDENCE, MO 64055 US
Tel: 816-478-4887  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
MO83-10

Other Provider Identifiers:

IssuerNumberStateType
200369500AMO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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