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Organization
MARION EYE CENTER ANESTHESIA GROUP INC
Active
Organization
MARION EYE CENTER ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQBOOL AHMAD M.D. (PRESIDENT)
(618) 993-5686
Entity
Organization
Contact information
Practice address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.051996
IL
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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