Organization
ADVANCED REGIONAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 803-0330
Entity
Organization
Contact information
Practice address
360 MISSOURI AVENUE 19A, SUITE 102, JEFFERSONVILLE, IN 47130
(812) 722-1480
(812) 288-2160
Mailing address
14201 DALLAS PKWY STE 102, DALLAS, TX 75254-2916
(972) 763-3859
(972) 920-3445
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033870
—
IN
05
—
7100306640
—
KY
Enumeration date
10/30/2012
Last updated
12/16/2024
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