Organization · Type 2 NPI

Physician Surgery Center

Multi-Specialty Clinic/Center · Rolla, MO

NPI number 1396991337 Active

Practice location

1500 Hwy 72 East
Rolla, MO 65401-0000

Fax (573) 426-6304

Mailing address

1207 Network Centre Dr, P.o. Box 1294
Effingham, IL 62401-4632

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1396991337

Physician Surgery Center's National Provider Identifier is 1396991337, issued on Aug 11, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Rolla, MO. The record was last updated on Aug 11, 2008.