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1710926589
PHYSICIAN SURGERY CENTER LLC
ROLLA, MO
NPI
1710926589
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Entity Type
Organization
Authorized Contact
ANN S DETERS
Pres
217-342-2255
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2006-06-06
Last Update Date
2009-08-05
Business Address
PHYSICIAN SURGERY CENTER LLC
1500 HIGHWAY 72 EAST
ROLLA, MO 65401
Phone number: 573-426-6301
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Mailing Address
PHYSICIAN SURGERY CENTER LLC
PO BOX 1294 1207 NETWORK CENTRE BLVD
EFFINGHAM, IL 62401
Phone number: 217-342-2255
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