Organization
SOUTHWESTERN ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FRASER STOKES MD (SECRETARY)
(724) 437-7677
Entity
Organization
Contact information
Practice address
300 SPRING CREEK LANE, UNIONTOWN, PA 15401
(724) 437-8840
(724) 437-9386
Mailing address
300 SPRING CREEK LANE, LOWER LEVEL, UNIONTOWN, PA 15401
(724) 439-8906
(724) 437-9386
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17291501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009084860001
—
PA
01
—
P00080642
RR MEDICARE
PA
Enumeration date
10/23/2006
Last updated
07/21/2022
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