| Provider Type: | Ambulatory Health Care Facilities |
| Provider Classification: | Clinic/Center |
| Provider Specialization: | Ambulatory Surgical |
| Address: |
1210 Homelife Plz Rolla, MO 65401-2512 |
| Phone: | (573) 341-2971 |
| Fax: | (573) 341-8174 |
| Authorized Official: | Mr. Monaldi, Michael P |
| Authorized Official Position: | Practice Manager |
| Authorized Official Phone: | (573) 341-2971 |
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