Physician Surgery Center

NPI #1003062100 in Rolla, Missouri

Provider Information

NPI Number
1003062100
Entity Type
Organization
Organization Name
Physician Surgery Center
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Aug 8, 2008
Last Updated
Aug 13, 2008

Practice Location

Address
1500 HWY 72 EAST
City
Rolla
ZIP Code
65401-0000
Phone
(573) 426-6301

Authorized Official

Name
ANN DETERS
Title
PRESIDENT
Phone
(217) 342-2255

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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