Eye Surgery Center of Maryville LLC

NPI #1386641066 in Maryville, Illinois

Provider Information

NPI Number
1386641066
Entity Type
Organization
Organization Name
Eye Surgery Center of Maryville LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 7, 2005
Last Updated
Apr 11, 2024

Practice Location

Address
12 PROFESSIONAL PARK DR
ZIP Code
62062-5672
Phone
(618) 288-7483

Authorized Official

Name
JOSEPH PRAVOOT GIRA, MD
Title
VP, CMO
Phone
(314) 909-0633

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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