Organization
CELILO SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI GUTZLER (PRACTICE ADMINISTRATOR)
(541) 296-6101
Entity
Organization
Contact information
Practice address
1810 E 19TH ST STE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-0025
Mailing address
1810 E 19TH ST STE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-0025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
05/13/2015
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