MAYFIELD SPINE SURGERY CENTER LLC NPI 1174852461

NPI Information

MAYFIELD SPINE SURGERY CENTER LLC is an ambulatory surgical clinic center in Cincinnati, OH. MAYFIELD SPINE SURGERY CENTER LLC NPI is 1174852461. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayfield Spine Surgery Center.

The provider's business location address is:

4020 SMITH RD
CINCINNATI, OH
ZIP 45209-936
Phone: (513) 619-5899
Fax: (513) 619-5897

The provider's authorized official is Michael Galvin .
The authorized official title is Officcer/authorized Official and has the following contact phone number (513) 706-8334.

The CLIA number assigned to this NPI record is 36D1061700 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 3/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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