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Organization
NOVAMED EYE SURGERY CENTER (PLAZA), LLC
Active
Organization
NOVAMED EYE SURGERY CENTER (PLAZA), LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MACOMBER (EVP OF THE MANAGER)
(312) 664-4100
Entity
Organization
Contact information
Practice address
4321 WASHINGTON ST, STE 6000, KANSAS CITY, MO 64111-5933
(816) 753-6511
(816) 227-4099
Mailing address
1700 E HIGGINS RD, STE 240, DES PLAINES, IL 60018-3888
(847) 296-5700
(847) 296-5990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
79-8
MO
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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