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Organization
MENTOR SURGERY CENTER LTD
Active
Organization
MENTOR SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACY ANN PETERS CPC (BUSINESS OFFICE MANAGER)
(440) 205-5467
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE, STE 1, MENTOR, OH 44060-4597
(440) 205-5454
(440) 205-5402
Mailing address
9485 MENTOR AVE, STE 1, MENTOR, OH 44060-8711
(440) 205-5454
(440) 205-5402
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0404AS
OH
Other
Enumeration date
08/09/2005
Last updated
12/31/2014
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