Organization
ACUTE CARE SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E DAVANZO MD (PRESIDENT)
(614) 898-5561
Entity
Organization
Contact information
Practice address
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081-8053
(614) 898-5561
(614) 898-5563
Mailing address
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081-8053
(614) 898-5561
(614) 898-5563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35051847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689618818
PERSONAL NPI
—
Enumeration date
11/20/2008
Last updated
11/20/2008
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