Organization
MILL CREEK ENDOSCOPY SUITES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE IRWIN (BILLING ADMINISTRATOR)
(330) 399-7215
Entity
Organization
Contact information
Practice address
1210 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4003
(330) 726-0132
(330) 726-2571
Mailing address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
(330) 399-2411
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
2068615
OH
Other
Enumeration date
01/06/2012
Last updated
10/24/2024
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