Organization
BELLEVILLE SURGICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization
Contact information
Practice address
28 N 64TH ST, BELLEVILLE, IL 62223-3808
(618) 398-5705
Mailing address
28 N 64TH ST, BELLEVILLE, IL 62223-3808
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
08/31/2007
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