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NPI Code Detail

MEDICARE: SURGERY OF LONDON, INC.

MEDICARE: SURGERY OF LONDON, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianOH

General Provider Information

NPI Number : 1831474105
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGERY OF LONDON, INC.
Provider Business Mailing Address
First Line : 54 W HIGH ST
Second Line : SUITE A
City : LONDON
State : OH
Zip : 43140-1075
Country : US
Telephone Number : 740-490-7244
Fax Number : 740-490-7362
Provider Business Practice Location Address
First Line : 54 W HIGH ST
Second Line : SUITE A
City : LONDON
State : OH
Zip : 43140-1075
Country : US
Telephone Number : 740-490-7244
Fax Number : 740-490-7362
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. AMY C HURA
Credential :
Telephone Number : 740-490-7244
Provider Enumeration Date : 10/18/2011
Last Update Date : 10/18/2011

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Directions to “SURGERY OF LONDON, INC. ” Practice Location

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