Southern Illinois Surgical Associates, PC

NPI #1184813115 in Marion, Illinois

Provider Information

NPI Number: 1184813115
Entity Type: Organization
Organization Name: Southern Illinois Surgical Associates, PC
Primary Specialty: Surgery
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 8333 EXPRESS DR STE D
City: Marion
State: Illinois
ZIP Code: 62959-6474
Phone: (618) 997-3103

Authorized Official

Name: DR. RODNEY LEE MILLER, MD
Title: PRESIDENT
Phone: (618) 997-3103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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