Organization
MONROE COUNTY SURGICAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J KING MD (MEDICAL DIRECTOR)
(314) 569-0612
Entity
Organization
Contact information
Practice address
501 HAMACHER ST, WATERLOO, IL 62298
(618) 939-5979
Mailing address
501 HAMACHER ST, WATERLOO, IL 62298
(618) 939-5979
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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