Maryville Physicians Services INC

NPI #1124261219 in Maryville, Illinois

Provider Information

NPI Number
1124261219
Entity Type
Organization
Organization Name
Maryville Physicians Services INC
Subpart
Yes (part of a larger organization)
Parent Organization
MARYVILLE PHYSICIANS SERVICES INC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Apr 20, 2009
Last Updated
Feb 12, 2010

Practice Location

Address
6812 STATE ROUTE 162
Address 2
SUITE 123
ZIP Code
62062-8553
Phone
(618) 288-9460

Authorized Official

Name
KEITH PAGE
Title
PRESIDENT
Phone
(618) 288-5711

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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