Organization
FIRESTONE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANITA HACKSTELLE MD (MEDICAL DIRECTOR)
(330) 332-7214
Entity
Organization
Contact information
Practice address
400 TOWN CENTER AVE STE 200, COLUMBIANA, OH 44408-8305
(510) 513-5747
Mailing address
400 TOWN CENTER AVE STE 200, COLUMBIANA, OH 44408-8305
(510) 513-5747
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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