Organization
ZIVA MEDICAL AUDRAIN LLC
Active
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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