Southern Illinois Vascular Surgery, PC

NPI #1407944192 in Belleville, Illinois

Provider Information

NPI Number
1407944192
Entity Type
Organization
Organization Name
Southern Illinois Vascular Surgery, PC
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
Oct 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
311 W LINCOLN ST
Address 2
SUITE 200
ZIP Code
62220-1902
Phone
(618) 233-2500

Authorized Official

Name
DR. HANS HASSAN MOOSA, M.D.
Title
PRESIDENT
Phone
(618) 233-2500

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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