General And Vascular Surgical Assoc in Maryville - Specialist
General And Vascular Surgical Assoc - NPI 1952478430
General And Vascular Surgical Assoc is a Specialist in Maryville, Illinois. General And Vascular Surgical Assoc practices all healthcare services and medical treatments related to Specialist. The NPI Number for General And Vascular Surgical Assoc is 1952478430. The last update date is 2020-08-22.
General And Vascular Surgical Assoc's current location address is 6810 State Route 162, Maryville, Illinois. You can contact this provider via phone number 6182883616 and fax number 6182883647. The mailing address for General And Vascular Surgical Assoc is 6810 State Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | General And Vascular Surgical Assoc |
|---|---|
| Address | 6810 State Route 162, Maryville, Illinois |
| Phone Number | 6182883616 |
| Fax Number | 6182883647 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lane Allen Charles |
| Credentials | M.D. |
| Telephone Number | 6182883616 |
NPI Number Detail
| NPI Number | 1952478430 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6182883616 |
| Fax Number | 6182883647 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to General And Vascular Surgical Assoc?
The General And Vascular Surgical Assoc has been issued the NPI (National Provider Identifier) 1952478430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where General And Vascular Surgical Assoc's facilities are situated?
The facilities of General And Vascular Surgical Assoc are physically located at the following address: 6810 State Route 162, Maryville, IL, 620628501.
What is General And Vascular Surgical Assoc's specialized field of practice, and what is the corresponding taxonomy classification code?
The General And Vascular Surgical Assoc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did General And Vascular Surgical Assoc receive its 1952478430 assignment?
The General And Vascular Surgical Assoc was assigned its 1952478430 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to General And Vascular Surgical Assoc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to General And Vascular Surgical Assoc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY