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Organization
SAINT CHARLES SURGICAL PAVILION INC
Active
Organization
SAINT CHARLES SURGICAL PAVILION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL GENE NORRIS MD (OWNER CEO)
(812) 634-1211
Entity
Organization
Contact information
Practice address
1900 SAINT CHARLES STREET, JASPER, IN 47546-9145
(812) 634-1211
(812) 634-9762
Mailing address
1900 SAINT CHARLES STREET, JASPER, IN 47546-9145
(812) 634-1211
(812) 634-9762
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
060025231
IN
Other
Enumeration date
03/28/2006
Last updated
01/13/2012
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