Organization · Type 2 NPI

Black River Ambulatory Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Poplar Bluff, MO

NPI number 1770149304 Active

About NPI 1770149304

Black River Ambulatory Surgery Center, LLC's National Provider Identifier is 1770149304, issued on May 20, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 20, 2019.