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Organization
PREMIER 2020, LLC
Active
Organization
PREMIER 2020, LLC
Active
Other names
Premier Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MATTHEW ZIMM DO (PRESIDENT/MEDICAL DIRECTOR)
(814) 453-4575
Entity
Organization
Contact information
Practice address
2350 VILLAGE COMMON DR, ERIE, PA 16506-4970
(814) 453-4575
(814) 459-3885
Mailing address
2350 VILLAGE COMMON DR, ERIE, PA 16506-4970
(814) 453-4575
(814) 459-3885
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
03/05/2021
Last updated
01/23/2024
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