Organization
SURGICAL INTERVENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN K ROBACK (OFFICE MANAGER)
(220) 564-1985
Entity
Organization
Contact information
Practice address
1371 W MAIN ST, NEWARK, OH 43055-3681
(220) 564-1985
(220) 564-1991
Mailing address
1371 W MAIN ST, NEWARK, OH 43055-3681
(220) 564-1985
(220) 564-1991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34005969R
OH
Other
Enumeration date
06/21/2007
Last updated
12/12/2019
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