AMBULATORY SURGERY CENTER OF CENTRALIA, LLC

CENTRALIA, IL
NPI1811957251
Entity TypeOrganization
Authorized ContactJEFFREY L STOCKARD
VP COO
615-377-5353
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2006-03-27
Last Update Date2020-08-22
Business Address
AMBULATORY SURGERY CENTER OF CENTRALIA, LLC
1045 M L KING DR
CENTRALIA, IL 62801-3001
Phone number: 618-532-3110
Mailing Address
AMBULATORY SURGERY CENTER OF CENTRALIA, LLC
1045 M L KING DR
CENTRALIA, IL 62801-3001
Phone number: 618-532-3110
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