| Advanced Surgical Care, Llc | |
|
2084 Ne Professional Ct Bend OR 97701-6077 | |
| (541) 322-5753 | |
| (541) 749-2130 |
| Full Name | Advanced Surgical Care, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2084 Ne Professional Ct, Bend, Oregon |
| Authorized Official Name and Position | Marinus H. Koning (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5413225753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Surgical Care, Llc 2084 Ne Professional Ct Bend OR 97701-6077 Ph: (541) 322-5753 | Advanced Surgical Care, Llc 2084 Ne Professional Ct Bend OR 97701-6077 Ph: (541) 322-5753 |
| NPI Number | 1225061724 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225061724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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