Organization
SURFASTAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN WILLIAM JARRETT III (PRESIDENT)
(618) 343-9150
Entity
Organization
Contact information
Practice address
907 N BLUFF RD, SUITE 4, COLLINSVILLE, IL 62234-5816
(618) 343-9150
(618) 343-9155
Mailing address
907 N BLUFF RD, SUITE 4, COLLINSVILLE, IL 62234-5816
(618) 343-9150
(618) 343-9155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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