Healthcare Provider Details

I. General information

NPI: 1285664300
Provider Name (Legal Business Name): PHYSICIANS OUTPATIENT SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 WASHINGTON BLVD
BELPRE OH
45714-2041
US

IV. Provider business mailing address

418 GRAND PARK DR SUITE 315
PARKERSBURG WV
26105-4000
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-7557
  • Fax: 740-423-7559
Mailing address:
  • Phone: 304-428-3500
  • Fax: 304-422-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SPENCER GEORGE
Title or Position: PARTNER/MEDICAL DIRECTOR
Credential: MD
Phone: 304-428-3500