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Organization
IEC SURGICAL CENTERS LLC
Active
Organization
IEC SURGICAL CENTERS LLC
Active
Other names
Physicians Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GIRA M.D. (OWNER)
(217) 222-9207
Entity
Organization
Contact information
Practice address
170 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-0175
(573) 231-0202
Mailing address
2445 BROADWAY ST, QUINCY, IL 62301-3257
(217) 222-9207
(217) 222-9205
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505488007
—
MO
Enumeration date
03/08/2007
Last updated
01/07/2014
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