Organization · Type 2 NPI

Four States Surgery Center, PC

Ambulatory Surgical Clinic/Center · Joplin, MO

NPI number 1508813627 Active

Practice location

1905 W 32nd St Ste 201
Joplin, MO 64804-1512

Fax (417) 206-3871

Mailing address

1531 East Bradford Parkway Ste 100
Springfield, MO 65804-6539

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X157-1 (MO)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1508813627

Four States Surgery Center, PC's National Provider Identifier is 1508813627, issued on May 27, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Joplin, MO. The record was last updated on Feb 27, 2024.