Fairlawn Surgery Center, Llc

NPI 1770802555 - Clinic/Center - 261QA1903X

NPI Details
NPI 1770802555
Enumeration Date 05/19/2010
Last Updated 03/31/2016
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEPHEN C STEPHEN
Position ADMINISTRATOR
Phone (540) 904-6170
Fax (540) 904-6177
Practice Location
2030 STEPHENSON AVE SW
ROANOKE VA, 24014-1664, US
Phone (540) 904-6170
Fax (540) 904-6177
Business Location
2030 STEPHENSON AVE SW
ROANOKE VA, 24014-1664, US
Phone (540) 904-6170
Fax (540) 904-6177
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Fairlawn Surgery Center, Llc NPI is 1770802555, taxonomy code is 261QA1903X Fairlawn Surgery Center, Llc physically located at 2030 Stephenson Ave Sw, Roanoke VA, 24014-1664. NPI Number 1033115704 has the healthcare provider type.

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1770802555 NPI number is provided on an as is basis without warranty of any kind. 1770802555 is maintained by the National Plan & Provider Enumeration System. The contents of Fairlawn Surgery Center, Llc are for informational purposes only.