Organization
SURGERY CENTER OF FARMINGTON, LLC
Active
Parent organization
SURGERY CENTER OF FARMINGTON LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGERY CENTER OF FARMINGTON LLC
Authorized official
LESLEY ANN WIGGER (BUSINESS OFFICE MANAGER)
(573) 756-8000
Entity
Organization
Contact information
Practice address
400 PARKLAND DR, FARMINGTON, MO 63640-2906
(573) 756-8000
(573) 756-8288
Mailing address
400 PARKLAND DR, FARMINGTON, MO 63640-2906
(573) 756-8000
(573) 756-8288
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326103490
NPI
MO
01
—
1437104304
NPI
MO
01
—
1942312061
NPI
MO
05
—
504759218
—
MO
Enumeration date
01/31/2006
Last updated
06/03/2015
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