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Organization
PREMIER SURGICAL CENTER, LLC
Active
Organization
PREMIER SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN C SHEPPARD (ADMINISTRATOR)
(417) 889-2040
Entity
Organization
Contact information
Practice address
195 OVERTHRUST ROAD, EVANSTON, WY 82930
(307) 444-3600
(307) 444-3610
Mailing address
195 OVERTHRUST ROAD, EVANSTON, WY 82930
(307) 444-3600
(307) 444-3610
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/24/2012
Last updated
03/26/2012
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