| Physician Surgery Center | |
|
1500 Hwy 72 East Rolla MO 65401-0000 | |
| (573) 426-6301 | |
| (573) 426-6304 |
| Full Name | Physician Surgery Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1500 Hwy 72 East, Rolla, Missouri |
| Authorized Official Name and Position | Ann Deters (PRESIDENT) |
| Authorized Official Contact | 2173422255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Surgery Center 1207 Network Centre Dr P.o. Box 1294 Effingham IL 62401-4632 Ph: (217) 342-2255 | Physician Surgery Center 1500 Hwy 72 East Rolla MO 65401-0000 Ph: (573) 426-6301 |
| NPI Number | 1396991337 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396991337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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