Organization
SOUTHERN ILLINOIS SURGICAL CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK L MOLT M.D. (PRESIDENT)
(618) 842-3813
Entity
Organization
Contact information
Practice address
207 NW 10TH ST, FAIRFIELD, IL 62837-1237
(618) 842-3813
(618) 842-2514
Mailing address
207 NW 10TH ST, P.O. BOX 465, FAIRFIELD, IL 62837-1237
(618) 842-3813
(618) 842-2514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-100303
IL
Other
Enumeration date
03/06/2011
Last updated
03/16/2017
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