Innovamed Veins Sc

NPI #1063652873 in Rockford, Illinois

Provider Information

NPI Number
1063652873
Entity Type
Organization
Organization Name
Innovamed Veins Sc
Primary Specialty
Internal Medicine
Enumeration Date
Mar 6, 2009
Last Updated
Jun 4, 2009

Practice Location

Address
2601 N MAIN ST
ZIP Code
61103-3110
Phone
(815) 987-1802

Authorized Official

Name
TRACY C BRITO, M.D.
Title
OWNER
Phone
(815) 987-1802

Specialties & Taxonomy Codes

Specialty
Phlebology
Internal Medicine

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