Organization
MONTGOMERY COUNTY SURGICAL ASSOCIATES, LLC
Active
Organization
MONTGOMERY COUNTY SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BLASER D.O. (PHYSICIAN)
(217) 324-8730
Entity
Organization
Contact information
Practice address
725 SAINT FRANCIS WAY, LITCHFIELD, IL 62056-1780
(217) 324-8730
Mailing address
725 SAINT FRANCIS WAY, LITCHFIELD, IL 62056-1780
(217) 324-8730
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036121436
IL
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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