Organization
NOVAMED EYE SURGERY CENTER (PLAZA), LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MACOMBER (EVP OF THE MANAGER)
(312) 664-4100
Entity
Organization
Contact information
Practice address
4321 WASHINGTON ST, STE 6000, KANSAS CITY, MO 64111-5933
(816) 753-6511
(816) 227-4099
Mailing address
1700 E HIGGINS RD, STE 240, DES PLAINES, IL 60018-3888
(847) 296-5700
(847) 296-5990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
79-8
MO
Other
Enumeration date
06/28/2005
Last updated
08/22/2020
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