Associated Surgical Group, Sc

NPI #1336255124 in Peoria, Illinois

Provider Information

NPI Number: 1336255124
Entity Type: Organization
Organization Name: Associated Surgical Group, Sc
Primary Specialty: Specialist
Enumeration Date: Aug 22, 2006
Last Updated: Oct 2, 2012

Practice Location

Address: 7303 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-2017
Phone: (309) 691-4005

Authorized Official

Name: DR. GAVISH N PATEL, M.D.
Title: PRESIDENT
Phone: (309) 691-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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