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Organization

LIBERTY AMBULATORY SURGERY CENTER LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE L. REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization

Contact information

Practice address
834 W KANSAS ST, STE B, LIBERTY, MO 64068-2033
(816) 883-2004
(816) 883-2010
Mailing address
834 W KANSAS ST, STE B, LIBERTY, MO 64068-2033
(816) 883-2004
(816) 883-2010

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1611
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506088509
MO
Enumeration date
08/24/2006
Last updated
12/17/2012
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