Organization
MIDWEST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE M REINEKE (ADMINISTRATOR)
(417) 781-2807
Entity
Organization
Contact information
Practice address
3105 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
(417) 781-2807
Mailing address
PO BOX 2507, JOPLIN, MO 64803-2507
(417) 781-2807
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
106-6
MO
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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