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Organization

ADVANCED HEALTHCARE SURGICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M HOJA M.D. (CHAIRMAN/AUTHORIZED OFFICIAL)
(573) 778-0020
Entity
Organization

Contact information

Practice address
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-3967
(573) 778-9209
(573) 778-1647
Mailing address
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-3967
(573) 778-0020
(573) 778-1647

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
123-2
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506063007
MO
Enumeration date
04/21/2006
Last updated
09/02/2008
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