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Organization
SOUTHERN INDIANA SURGERY CENTER, LLC
Active
Organization
SOUTHERN INDIANA SURGERY CENTER, LLC
Active
Other names
Southern Indiana Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY SCALES (BUSINESS OFFICE MANAGER)
(812) 333-8969
Entity
Organization
Contact information
Practice address
2800 REX GROSSMAN BLVD, BLOOMINGTON, IN 47403-5145
(812) 333-8969
(812) 335-2309
Mailing address
2800 REX GROSSMAN BLVD, BLOOMINGTON, IN 47403-5145
(812) 333-8969
(812) 335-2309
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
06-006102-1
IN
Other
Enumeration date
10/19/2006
Last updated
03/15/2010
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