Organization · Type 2 NPI

Pine Grove Ambulatory Surgical

Ambulatory Surgical Clinic/Center · Russell, PA

NPI number 1689860124 Active

Practice location

10 Timberview Lane
Russell, PA 16345

Fax (814) 757-5829

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

About NPI 1689860124

Pine Grove Ambulatory Surgical's National Provider Identifier is 1689860124, issued on Sep 19, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Russell, PA. The record was last updated on Feb 19, 2008.