Organization
ADVANCED SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
111 S 10TH ST, OMAHA, NE 68102-1104
(402) 345-1712
(402) 345-1864
Mailing address
111 S 10TH ST, OMAHA, NE 68102-1104
(402) 345-1712
(402) 345-1864
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASC042
NE
Other
Enumeration date
05/22/2006
Last updated
04/28/2023
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