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Organization
32ND STREET SURGERY CENTER, LLC
Active
Organization
32ND STREET SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1531 E 32ND STREET, SUITE 6, JOPLIN, MO 64804-2925
(417) 627-9699
(417) 627-9602
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
247-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200588590A
—
KS
Enumeration date
04/16/2008
Last updated
05/10/2022
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