# ALTON SURGICAL FACILITY, P.C.

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

## Provider details

- **NPI number:** 1912033903
- **Authorized official:** DR. LAWRENCE ANTHONY HUELS D.P.M. (PRESIDENT)
- **Authorized official phone:** (618) 462-2316

## Contact information

- **Practice address:** 3535 COLLEGE AVE, ALTON, IL 62002-5009
- **Practice address phone:** (618) 462-2316
- **Practice address fax:** (618) 462-0954
- **Mailing address:** 3535 COLLEGE AVE, ALTON, IL 62002-5009
- **Mailing address phone:** (618) 462-2316
- **Mailing address fax:** (618) 462-0954

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 06/21/2018
