Organization · Type 2 NPI
Advanced Urologic Surgeons PC
Specialist · Mount Vernon, IL
NPI number
1093901340
Active
Practice location
604 Seville Dr
Mount Vernon, IL 62864-7001
Fax (618) 244-4061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036114878 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093901340
Advanced Urologic Surgeons PC's National Provider Identifier is 1093901340, issued on Sep 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 29, 2010.