Bel Clair Ambulatory Surgical Treatment Center, Ltd
NPI #1720458813 in Belleville, Illinois
Provider Information
- NPI Number
- 1720458813
- Entity Type
- Organization
- Organization Name
- Bel Clair Ambulatory Surgical Treatment Center, Ltd
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Oct 1, 2015
- Last Updated
- Oct 1, 2015
Practice Location
- Address
- 325 W LINCOLN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1921
- Phone
- (618) 235-2299
Authorized Official
- Name
- MR. DAVID RUSSELL HORACE
- Title
- ADMINISTRATOR
- Phone
- (618) 235-2299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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