Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1710926589

Physician Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Rolla, Missouri. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 Highway 72 E
Rolla, MO 65401
Phone: (573) 426-6301
Fax: (573) 426-6304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1710926589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Deters — Pres · (217) 342-2255
NPI enumeratedJune 6, 2006
Last updated in NPPESAugust 5, 2009
Mailing addressPo Box 1294, 1207 Network Centre Blvd, Effingham, IL 62401

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