Belleville Orthopedics, P.c.

NPI #1275618480 in Belleville, Illinois

Provider Information

NPI Number: 1275618480
Entity Type: Organization
Organization Name: Belleville Orthopedics, P.c.
Primary Specialty: Specialist
Enumeration Date: Oct 26, 2006
Last Updated: Jan 15, 2009

Practice Location

Address: 4550 MEMORIAL DR
Address 2: SUITE 460
City: Belleville
State: Illinois
ZIP Code: 62226-5359
Phone: (618) 235-2900

Authorized Official

Name: DR. HARVEY L MIRLY, M.D.
Title: OWNER/PRESIDENT
Phone: (618) 235-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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