Healthcare Provider Details

I. General information

NPI: 1104868561
Provider Name (Legal Business Name): REGIONAL SURGERY CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 W 32ND ST SUITE 107
JOPLIN MO
64804-1611
US

IV. Provider business mailing address

1531 W 32ND ST SUITE 107
JOPLIN MO
64804-1611
US

V. Phone/Fax

Practice location:
  • Phone: 417-781-9595
  • Fax:
Mailing address:
  • Phone: 417-781-9595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number39-17
License Number StateMO

VIII. Authorized Official

Name: JOHN A YUHAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 417-781-3630