Organization
ZIVA MEDICAL SPECIALTY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
515 E PROMENADE ST STE 2, MEXICO, MO 65265-2966
(573) 570-3510
Mailing address
515 E PROMENADE ST STE 2, MEXICO, MO 65265-2966
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
09/05/2023
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