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STARK AMBULATORY SURGERY CENTER, LLC

Surgery Yellow Pages

Canton, Ohio

Provider NPI: 1740260926

Organization Information:
Organization Name:  STARK AMBULATORY SURGERY CENTER, LLC


Practice Location:
4360 FULTON DR NW SUITE C CANTON, OH 44718 US
Tel: 330-305-2020  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
OH0750AS

Other Provider Identifiers:

IssuerNumberStateType
2533299OH05
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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