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CIVISTA CLINICAL SERVICES, LLC

Surgery Physician

NPI: 1710247440Organization

Specialties, Licenses & Credentials

Otolaryngology

Code: 207Y00000X

Surgery — Vascular Surgery

Code: 2086S0129X

Surgery

Code: 208600000X

Contact & Hours

Address
500 CHARLES ST
LA PLATA, MD 20646

Quick Facts

NPI
1710247440
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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