Edwardsville Ambulatory Surgery Center LLC
NPI #1952464844 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1952464844
- Entity Type
- Organization
- Organization Name
- Edwardsville Ambulatory Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Jul 7, 2023
Practice Location
- Address
- 12 GINGER CREEK PKWY
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3502
- Phone
- (618) 656-8200
Authorized Official
- Name
- LAURA J FEY
- Title
- SR. DIRECTOR PHYSICIAN REV CYCLE
- Phone
- (615) 221-3641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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