Organization
SILVER SPRINGS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L BAUER PRESIDENT CRNA (PRESIDENT)
(573) 332-1300
Entity
Organization
Contact information
Practice address
319 S SILVER SPRINGS RD, STE B, CAPE GIRARDEAU, MO 63703
(573) 332-1300
(573) 332-1550
Mailing address
319 S SILVER SPRINGS RD, STE B, CAPE GIRARDEAU, MO 63703
(573) 332-1300
(573) 332-1550
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
976
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150194
BLUE CROSS
MO
01
—
405137
HEALTHLINK
MO
Enumeration date
04/26/2006
Last updated
08/22/2020
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