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Organization
ROLLA SURGICAL CLINIC, LLC
Active
Organization
ROLLA SURGICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P MONALDI (PRACTICE MANAGER)
(573) 341-2971
Entity
Organization
Contact information
Practice address
1210 HOMELIFE PLZ, ROLLA, MO 65401-2512
(573) 341-2971
(573) 341-8174
Mailing address
PO BOX 130, ROLLA, MO 65402-0130
(573) 341-2971
(573) 341-8174
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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