Organization · Type 2 NPI
Eye Surgery Center of Maryville LLC
Ambulatory Surgical Clinic/Center · Maryville, IL
NPI number
1386641066
Active
Practice location
12 Professional Park Dr
Maryville, IL 62062-5672
Fax (618) 288-4583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7002132 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1386641066
Eye Surgery Center of Maryville LLC's National Provider Identifier is 1386641066, issued on Jul 7, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Maryville, IL. The record was last updated on Apr 11, 2024.