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Organization
ZIVA MEDICAL CENTER LLC
Active
Organization
ZIVA MEDICAL CENTER LLC
Active
Other names
ZIVAMED IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3519
Entity
Organization
Contact information
Practice address
620 E MONROE ST STE 1100, MEXICO, MO 65265-2919
(573) 570-3519
Mailing address
620 E MONROE ST STE 1100, MEXICO, MO 65265-2919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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