Organization
GUT THEORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESE LASTER MD (MEDICAL DIRECTOR)
(205) 821-4321
Entity
Organization
Contact information
Practice address
5225 WISCONSIN AVE NW STE 200B, WASHINGTON, DC 20015-2014
(205) 821-4341
Mailing address
5225 WISCONSIN AVE NW STE 200B, WASHINGTON, DC 20015-2014
(205) 821-4341
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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