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
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None 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.