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Organization

ZIVA MEDICAL AUDRAIN LLC

Active
Other names
ZIVAMED SPECIALTY CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization

Contact information

Practice address
515 E PROMENADE ST # B, MEXICO, MO 65265-2966
(573) 570-3510
(573) 675-6040
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WP0000X
Pain Management Registered Nurse
207L00000X
Anesthesiology Physician
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0000X
Pain Medicine Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
09/22/2023
Last updated
12/27/2023
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