# ADVANCED SURGICAL CARE, LLC

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

## Provider details

- **NPI number:** 1225061724
- **Authorized official:** MARINUS H. KONING MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 322-5753

## Contact information

- **Practice address:** 2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
- **Practice address phone:** (541) 322-5753
- **Practice address fax:** (541) 749-2130
- **Mailing address:** 2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
- **Mailing address phone:** (541) 322-5753
- **Mailing address fax:** (541) 749-2130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/22/2020