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Organization
LIBERTY CATARACT CENTER LLC
Active
Organization
LIBERTY CATARACT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M AMOS (ADMINISTRATOR)
(816) 415-3003
Entity
Organization
Contact information
Practice address
1100 W COLLEGE ST, LIBERTY, MO 64068-1119
(816) 415-3003
(816) 415-3993
Mailing address
1100 W COLLEGE ST, LIBERTY, MO 64068-1119
(816) 415-3003
(816) 415-3993
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
139-11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509164901
—
MO
Enumeration date
06/12/2006
Last updated
05/19/2015
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