Organization
CONYNGHAM VALLEY SURGICENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L SON MD (MEDICAL DIRECTOR)
(570) 788-2733
Entity
Organization
Contact information
Practice address
8 BROOKHILL SQ S, SUGARLOAF, PA 18249-1010
(570) 788-2733
Mailing address
PO BOX 322, SYBERTSVILLE, PA 18251-0322
(570) 788-2733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD038350L
PA
Other
Enumeration date
07/02/2008
Last updated
02/13/2009
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