General and Vascular Surgical Assoc

NPI #1952478430 in Maryville, Illinois

Provider Information

NPI Number: 1952478430
Entity Type: Organization
Organization Name: General and Vascular Surgical Assoc
Primary Specialty: Specialist
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6810 STATE ROUTE 162
Address 2: SUITE 105
City: Maryville
State: Illinois
ZIP Code: 62062-8501
Phone: (618) 288-3616

Authorized Official

Name: DR. CHARLES ALLEN LANE, M.D.
Title: PRESIDENT
Phone: (618) 288-3616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
MRS. Mary Catherine Beatty, PT	Specialist	Maryville	AI Deep Dive
DR. Ei Shun Lin, M.D.	Specialist	Maryville	AI Deep Dive

Organizations

Provider Name	Specialty	City
Christina L Midkiff MD Sc	Specialist	Maryville	AI Deep Dive
James J. Dalla Riva, Md, PC	Specialist	Maryville	AI Deep Dive
Lin Pain Clinic Ltd	Specialist	Maryville	AI Deep Dive

Want to research this healthcare provider further?