SOUTHERN ILLINOIS VASCULAR SURGERY, PC

BELLEVILLE, IL
NPI1407944192
Entity TypeOrganization
Authorized ContactHANS HASSAN MOOSA
President
618-233-2500
Organization Subpart ?No
Primary Taxonomy2086S0129X 
(Licence: IL  036073250)
Enumeration Date2006-10-10
Last Update Date2020-08-22
Business Address
SOUTHERN ILLINOIS VASCULAR SURGERY, PC
311 W LINCOLN ST SUITE 200
BELLEVILLE, IL 62220-1902
Phone number: 618-233-2500
Mailing Address
SOUTHERN ILLINOIS VASCULAR SURGERY, PC
311 W LINCOLN ST SUITE 200
BELLEVILLE, IL 62220-1902
Phone number: 618-233-2500
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