Organization
ZIVA MEDICAL AUDRAIN LLC
Active
Parent organization
ZIVA MEDICAL AUDRAIN LLC
Other names
ZIVAMED SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZIVA MEDICAL AUDRAIN LLC
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 570-3517
(573) 675-6040
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197
(573) 675-6040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
11/02/2023
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