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Organization
LIBERTY AMBULATORY SURGERY CENTER LP
Active
Organization
LIBERTY AMBULATORY SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization
Contact information
Practice address
834 W KANSAS ST, STE B, LIBERTY, MO 64068-2033
(816) 883-2004
(816) 883-2010
Mailing address
834 W KANSAS ST, STE B, LIBERTY, MO 64068-2033
(816) 883-2004
(816) 883-2010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506088509
—
MO
Enumeration date
08/24/2006
Last updated
12/17/2012
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