| NPI | 1649269663 |
|---|---|
| Doing Business As | PHYSICIANS ALLIANCE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON C BANDERMANN Administrator 573-334-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 104-16) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MO 104-16) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2016-04-04 |