Organization
SURGERY ALLIANCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL THOMAS (ADMINISTRATOR)
(330) 821-7997
Entity
Organization
Contact information
Practice address
975 SAWBURG AVE, ALLIANCE, OH 44601-3515
(330) 821-7997
(330) 821-7295
Mailing address
975 SAWBURG AVE, ALLIANCE, OH 44601-3515
(330) 821-7997
(330) 821-7295
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0030AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177393
—
OH
Enumeration date
11/30/2005
Last updated
08/22/2020
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