Ambulatory Surgery Center of Centralia, LLC
NPI #1811957251 in Centralia, Illinois
Provider Information
- NPI Number
- 1811957251
- Entity Type
- Organization
- Organization Name
- Ambulatory Surgery Center of Centralia, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JEFFREY L STOCKARD
- Title
- VP COO
- Phone
- (615) 377-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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