# PHYSICIANS REGIONAL SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1497368013
- **Authorized official:** DR. JOHN ANTALIS MD (OWNER)
- **Authorized official phone:** (740) 260-3045

## Contact information

- **Practice address:** 103 PLAZA DR STE A, SAINT CLAIRSVILLE, OH 43950-7729
- **Practice address phone:** (740) 449-2561
- **Practice address fax:** (740) 449-2688
- **Mailing address:** 103 PLAZA DR STE A, SAINT CLAIRSVILLE, OH 43950-7729
- **Mailing address phone:** (740) 449-2561

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 11/19/2021