Organization
SURGICAL ASSOCIATES OF MEDINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DENNIS BICA M.D. (PRESIDENT)
(330) 725-4292
Entity
Organization
Contact information
Practice address
970 E WASHINGTON ST, SUITE 6-C, MEDINA, OH 44256-3332
(330) 725-4292
(330) 725-5043
Mailing address
970 E WASHINGTON ST, SUITE 6-C, MEDINA, OH 44256-3332
(330) 725-4292
(330) 725-5043
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0723168
—
OH
Enumeration date
01/31/2006
Last updated
08/22/2020
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