Marion Eye Surgery Center LLC

NPI #1295156669 in Mount Vernon, Illinois

Provider Information

NPI Number
1295156669
Entity Type
Organization
Organization Name
Marion Eye Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 2, 2014
Last Updated
Jan 2, 2014

Practice Location

Address
2900 BROADWAY ST
Address 2
SUITE B
ZIP Code
62864-2341
Phone
(618) 969-8700

Authorized Official

Name
MAQBOOL AHMAD, M.D.
Title
PRESIDENT
Phone
(618) 993-5686

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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