Organization
ADVANCED SURGICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINUS H. KONING MD (MEDICAL DIRECTOR)
(541) 322-5753
Entity
Organization
Contact information
Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 322-5753
(541) 749-2130
Mailing address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 322-5753
(541) 749-2130
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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