# SOUTHEAST MISSOURI SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164388021
- **Authorized official:** SONJAY JOSEPH FONN DO (OWNER/CEO)
- **Authorized official phone:** (573) 270-8365

## Contact information

- **Practice address:** 65 DOCTORS PARK STE B, CAPE GIRARDEAU, MO 63703-4927
- **Practice address phone:** (573) 803-2420
- **Practice address fax:** (573) 651-8734
- **Mailing address:** 65 DOCTORS PARK STE B, CAPE GIRARDEAU, MO 63703-4927
- **Mailing address phone:** (573) 803-2420
- **Mailing address fax:** (573) 651-8734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2026
- **Last updated:** 02/28/2026