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Organization
ADVANCED SURGICAL TECHNOLOGY, LLC
Active
Organization
ADVANCED SURGICAL TECHNOLOGY, LLC
Active
Other names
AST Primary Care West Frankfort
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIA RENSING (OFFICE MANAGER)
(618) 899-9200
Entity
Organization
Contact information
Practice address
309 W SAINT LOUIS ST STE A, WEST FRANKFORT, IL 62896-2047
(618) 932-9313
(618) 932-9314
Mailing address
309 W SAINT LOUIS ST STE A, WEST FRANKFORT, IL 62896-2047
(618) 932-9313
(618) 932-9314
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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