Maryville Imaging, LLC

NPI #1912293002 in Maryville, Illinois

Provider Information

NPI Number
1912293002
Entity Type
Organization
Organization Name
Maryville Imaging, LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jun 27, 2011
Last Updated
Jun 8, 2022

Practice Location

Address
2023 VADALABENE DR
Address 2
SUITE 100
ZIP Code
62062-5630
Phone
(618) 288-4929

Authorized Official

Name
MR. KEITH A. PAGE, FACH
Title
PRESIDENT
Phone
(618) 391-6406

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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