Advanced Urologic Surgeons PC
NPI #1093901340 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1093901340
- Entity Type
- Organization
- Organization Name
- Advanced Urologic Surgeons PC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 20, 2007
- Last Updated
- Apr 29, 2010
Practice Location
- Address
- 604 SEVILLE DR
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-7001
- Phone
- (618) 244-4060
Authorized Official
- Name
- DR. DAVID KNOWLES, M.D.
- Title
- OWNER
- Phone
- (618) 244-4060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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