Civista Clinical Services, LLC
Civista Clinical Services, LLC is an Otolaryngology Physician in LA Plata, Maryland. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 Charles StLA Plata, MD 20646-5931
Phone: (301) 609-4539
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X |
| Vascular Surgery Physician | Taxonomy 2086S0129X |
Record details
| NPI number | 1710247440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Civista Clinical Services, LLC |
| Authorized official | Stephanie Simm — Physician Relations Specialist · (301) 609-4539 |
| Other names | La Plata Surgical Care |
| NPI enumerated | May 29, 2012 |
| Last updated in NPPES | June 12, 2014 |
| Mailing address | 75 Remittance Dr Dept 6554, Chicago, IL 60675-6554 |