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
Authorized Official
- Name
- JOSEPH PRAVOOT GIRA, MD
- Title
- VP, CMO
- Phone
- (314) 909-0633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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