Organization · Type 2 NPI
Black River Ambulatory Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Poplar Bluff, MO
NPI number
1770149304
Active
Practice location
219 Physicians Park
Poplar Bluff, MO 63901-3956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
4 other providers at this address
- Guardian Anesthesia Associates LLCCertified Registered Nurse Anesthetist Poplar Bluff, MO NPI 1215366307
- Mid-Land Anesthesia AssociatesCertified Registered Nurse Anesthetist Poplar Bluff, MO NPI 1699754242
- Donald Foust, CRNACertified Registered Nurse Anesthetist Poplar Bluff, MO NPI 1477532430
- John Bollenbacher, CRNACertified Registered Nurse Anesthetist Poplar Bluff, MO NPI 1952380792
Other ambulatory surgical clinic/center providers in Poplar Bluff
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.