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Organization
CIVISTA PARTNERS AMBULATORY SURGERY CENTER
Active
Organization
CIVISTA PARTNERS AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA MCCLURE (DIRECTOR OF CLINICAL OPERATIONS)
(240) 427-1807
Entity
Organization
Contact information
Practice address
3510 OLD WASHINGTON RD, SUITE 200, WALDORF, MD 20602-3233
(240) 427-1800
Mailing address
3510 OLD WASHINGTON RD, SUITE 200, WALDORF, MD 20602-3233
(240) 427-1800
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1303
MD
Other
Enumeration date
11/02/2006
Last updated
07/23/2008
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