# TIPPECANOE ENDOSCOPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245224286
- **Authorized official:** YING K AMORN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (330) 726-0132

## Contact information

- **Practice address:** 1210 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4003
- **Practice address phone:** (330) 726-0132
- **Practice address fax:** (330) 726-2571
- **Mailing address:** 1210 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4003
- **Mailing address phone:** (330) 726-0132
- **Mailing address fax:** (330) 726-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0009AS | OH | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 11/02/2007