NPI: 1205030731
Provider Name: PIERCE STREET SAME DAY SURGERY, LC
Former Legal Business Name: PIERCE STREET SAME DAY SURGERY, LC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 16D1070291
Address:
2730 PIERCE ST
SIOUX CITY, IA
ZIP 51104
Phone: (712) 294-7773
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PIERCE STREET SAME DAY SURGERY, LC is an ambulatory surgical clinic center in Sioux City, IA. PIERCE STREET SAME DAY SURGERY, LC NPI is 1205030731. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pierce Street Same Day Surgery, Lc.
The provider's business location address is:
2730 PIERCE ST
SIOUX CITY, IA
ZIP 51104-796
Phone: (712) 294-7773
Fax: (712) 279-7958
The provider's authorized official is Craig Bryan .
The authorized official title is Chief Executive Officer and has the following contact phone number (712) 294-8911.
The CLIA number assigned to this NPI record is 16D1070291 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/11/2007 and was last updated on 11/18/2019.