# BELLEVILLE ENDOSCOPY ANESTHESIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700218146
- **Authorized official:** MARK FELDMAN MD (OWNER)
- **Authorized official phone:** (618) 233-3661

## Contact information

- **Practice address:** 311 W LINCOLN ST, SUITE 100, BELLEVILLE, IL 62220-1902
- **Practice address phone:** (618) 233-3661
- **Practice address fax:** (618) 233-0992
- **Mailing address:** 311 W LINCOLN ST, SUITE 100, BELLEVILLE, IL 62220-1902
- **Mailing address phone:** (618) 233-3661
- **Mailing address fax:** (618) 233-0992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 10/21/2013