Foot Surgery Center Llc

NPI 1770615148 - Podiatrist - 213ES0103X

NPI Details
NPI 1770615148
Enumeration Date 03/12/2007
Last Updated 07/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICTOR LEWIS VICTOR
Position OWNER
Phone (618) 222-1986
Fax (618) 222-1898
Practice Location
4901 W MAIN ST
BELLEVILLE IL, 62226-4724, US
Phone (618) 222-1986
Fax (618) 222-1898
Business Location
4901 W MAIN ST
BELLEVILLE IL, 62226-4724, US
Phone (618) 222-1986
Fax (618) 222-1898
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016.004072
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According to our database, Foot Surgery Center Llc NPI is 1770615148, taxonomy code is 213ES0103X and license number is 016.004072, license state is located at Illinois. Foot Surgery Center Llc physically located at 4901 W Main St, Belleville IL, 62226-4724. NPI Number 1033115704 has the healthcare provider type.

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1770615148 NPI number is provided on an as is basis without warranty of any kind. 1770615148 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Surgery Center Llc are for informational purposes only.