| Organization Name: | SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC |
| NPI Number: | 1033195912 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY W OLSON (GENERAL MANAGER) |
| Mailing Address: | 310 S Pennsylvania St Suite 201 Aberdeen |
| State: | SD US |
| Postal Code: | 574014553 |
| Phone Number: | 6052291367 |
| Fax Number: | 6052291002 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 04/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 48090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |