Vamc

NPI #1881623577 in Marion, Illinois

Provider Information

NPI Number: 1881623577
Entity Type: Organization
Organization Name: Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jul 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2401 W MAIN ST
City: Marion
State: Illinois
ZIP Code: 62959-1188
Phone: (618) 997-5311

Authorized Official

Name: DR. MOHAMMED Y MANSURI, MD
Title: STAFFCARDIOLOGIST
Phone: (618) 997-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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