Midwest Surgical Specialties PC

Organization Active NPI Ambulatory Surgical Clinic/Center · Macon, MO

NPI 1477913192 · NPPES record last updated Feb 24, 2016

Key facts

NPI
1477913192
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
MIDWEST SURGICAL SPECIALTIES PC
Practice address
1706 Prospect Dr
Macon, MO 63552-2615
Phone
(660) 385-1008
NPI assigned
Feb 24, 2016
Organization subpart
No

Authorized official

Name
Teresa Grimshaw
Title
Manager
Phone
(660) 385-1008

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

1706 Prospect Dr
Macon, MO 63552-2615

Mailing address

1706 Prospect Dr
PO Box 402
Macon, MO 63552-2615
Phone (660) 385-1008

Other providers in Macon, MO

All providers in Macon, MO · Ambulatory Surgical Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.