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

TaxonomyCodeLicense
Specialist Primary 174400000X036114878 (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.