Organization
PEKOSC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STUTLER (CFO)
(419) 290-3034
Entity
Organization
Contact information
Practice address
7634 W CENTRAL AVE, TOLEDO, OH 43617-1526
(567) 408-7356
Mailing address
7634 W CENTRAL AVE, TOLEDO, OH 43617-1526
(567) 408-7356
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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