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Organization
ANDOVER AMBULATORY SURGERY CENTER, LLC
Active
Organization
ANDOVER AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN HADLEY (CHIEF FINANCIAL OFFICER)
(316) 440-3200
Entity
Organization
Contact information
Practice address
1124 W 21ST ST STE 100, ANDOVER, KS 67002-5500
(316) 440-3200
(316) 440-3255
Mailing address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 201-6999
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/30/2019
Last updated
09/08/2020
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