Organization
ENDOSCOPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K KOFFEL M.D. (PRESIDENT)
(419) 843-7993
Entity
Organization
Contact information
Practice address
3439 GRANITE CIR, TOLEDO, OH 43617-1161
(419) 843-7993
(419) 841-7789
Mailing address
3439 GRANITE CIR, TOLEDO, OH 43617-1161
(419) 843-7993
(419) 841-7789
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323546
—
OH
Enumeration date
10/04/2005
Last updated
09/05/2007
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