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Organization

ALLIANCE SURGICAL CARE INC

Active
Other names
CLAUDIO DEPERALTA MD
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL R SUITCA (OFFICE ADMINISTRATOR)
(330) 823-4424
Entity
Organization

Contact information

Practice address
2461 WEST STATE STREET, SUITE C, ALLIANCE, OH 44601-4686
(330) 823-4424
(330) 823-1179
Mailing address
2461 WEST STATE STREET, SUITE C, ALLIANCE, OH 44601-4686
(330) 823-4424
(330) 823-1179

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35070562
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0319702
OH
Enumeration date
12/13/2006
Last updated
10/22/2014
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