Organization · Type 2 NPI
Vein & Esthetic Centre
Vascular Surgery Physician · Carterville, IL
NPI number
1184850752
Active
Practice location
10419 Fleming Rd
Carterville, IL 62918-3391
Fax (573) 334-5302
Mailing address
3065 William St, Suite 105
Cape Girardeau, MO 63703-6393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
About NPI 1184850752
Vein & Esthetic Centre's National Provider Identifier is 1184850752, issued on Jun 9, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Carterville, IL. The record was last updated on Jun 9, 2009.