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Organization
BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD
Active
Organization
BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RUSSELL HORACE (ADMINISTRATOR)
(618) 235-2299
Entity
Organization
Contact information
Practice address
325 W LINCOLN ST, BELLEVILLE, IL 62220-1921
(618) 235-2299
(618) 235-2556
Mailing address
325 W LINCOLN ST, BELLEVILLE, IL 62220-1921
(618) 235-2299
(618) 235-2556
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
367500000X
Certified Registered Nurse Anesthetist
—
IL
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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