Little Egypt Surgical Assisting L.l.c

NPI #1295950103 in Fairfield, Illinois

Provider Information

NPI Number
1295950103
Entity Type
Organization
Organization Name
Little Egypt Surgical Assisting L.l.c
Primary Specialty
General Acute Care Hospital
Enumeration Date
Apr 16, 2007
Last Updated
Jun 21, 2018

Practice Location

Address
1207 N 1ST ST
Address 2
BOX721
ZIP Code
62837-2466
Phone
(618) 237-8770

Authorized Official

Name
MR. DENISE RENAE SONS, RN,CNOR,CRNFA
Title
CERT. REG. NURSE FIRST ASSISTANT
Phone
(618) 237-8770

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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