Marion Eye Surgery Center LLC
NPI #1346698602 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1346698602
- Entity Type
- Organization
- Organization Name
- Marion Eye Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 27, 2016
- Last Updated
- May 27, 2016
Practice Location
- Address
- 2900 BROADWAY ST
- Address 2
- STE. B
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2341
- Phone
- (618) 969-8700
Authorized Official
- Name
- DR. MAQBOOL AHMAD, M.D.
- Title
- PRESIDENT
- Phone
- (618) 993-5686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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