ALTON SURGICAL FACILITY P.C. NPI 1912033903

NPI Information

ALTON SURGICAL FACILITY, P.C. is an ambulatory surgical clinic center in Alton, IL. ALTON SURGICAL FACILITY, P.C. NPI is 1912033903. The provider is registered as an organization entity type.

The provider's business location address is:

3535 COLLEGE AVE
ALTON, IL
ZIP 62002-009
Phone: (618) 462-2316
Fax: (618) 462-0954

The provider's authorized official is Lawrence Anthony Huels .
The authorized official title is President and has the following contact phone number (618) 462-2316.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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