Organization
ADVANCED SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STOYAN KOKOCHAROV MD (OWNER)
(419) 455-9410
Entity
Organization
Contact information
Practice address
1660 W MARKET ST, SUITE D, TIFFIN, OH 44883
(419) 455-9410
(419) 455-9414
Mailing address
1660 W MARKET ST, SUITE D, TIFFIN, OH 44883-2536
(419) 455-9410
(419) 455-9414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
10/23/2008
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