Organization
SURGERY CENTER OF SOUTHWEST OHIO, LLC
Active
Other names
The Surgery Center of Southwest Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GAVIGAN (MEMBER MANAGER)
(615) 397-9187
Entity
Organization
Contact information
Practice address
2210 ARBOR BLVD STE 1A, MORAINE, OH 45439-1522
(615) 397-9187
Mailing address
7110 CROSSROADS BLVD STE 200, BRENTWOOD, TN 37027-2826
(615) 397-9187
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
08/11/2021
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