Organization
20-20 SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H KING HARTMAN JR. MD (OWNER MEDICAL DOCTOR)
(724) 836-1177
Entity
Organization
Contact information
Practice address
516 PELLIS RD, GREENSBURG, PA 15601-4506
(724) 836-1177
(724) 836-4700
Mailing address
516 PELLIS RD, GREENSBURG, PA 15601-4506
(724) 836-1177
(724) 836-4700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17611501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012051400001
—
PA
Enumeration date
08/26/2005
Last updated
07/23/2008
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