Organization
EMPORIA AMBULATORY SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD BOSILJEVAC JR. MD (PRESIDENT)
(620) 343-2233
Entity
Organization
Contact information
Practice address
2528 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 343-2233
(620) 343-8571
Mailing address
2528 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 343-2233
(620) 343-8571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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