Surgical Associates of Mt Vernon, Ltd
NPI #1790827491 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1790827491
- Entity Type
- Organization
- Organization Name
- Surgical Associates of Mt Vernon, Ltd
- Primary Specialty
- Surgery
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jan 24, 2014
Practice Location
- Address
- 2 GOOD SAMARITAN WAY
- Address 2
- SUITE 235
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864
- Phone
- (618) 899-3980
Authorized Official
- Name
- ANNETTE SHORES, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (618) 899-3980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Surgery |
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