Organization
SURGERY CENTER OF FREMONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
2727 N CLARKSON ST, FREMONT, NE 68025-7713
(402) 727-8500
Mailing address
2727 N CLARKSON ST, FREMONT, NE 68025-7713
(402) 727-8500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/24/2009
Last updated
10/28/2022
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