Organization · Type 2 NPI

Civista Clinical Services, LLC

Surgery Physician · La Plata, MD

NPI number 1710247440 Active

Practice location

500 Charles St
La Plata, MD 20646-5931

Mailing address

75 Remittance Dr Dept 6554
Chicago, IL 60675-6554

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XNone listed
Surgery Physician Primary 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

7 other providers at this address

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About NPI 1710247440

Civista Clinical Services, LLC's National Provider Identifier is 1710247440, issued on May 29, 2012. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in La Plata, MD. The record was last updated on Jun 12, 2014.