Organization
CARDIOTHORACIC SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL BATES DAILY JR. M.D. (PRESIDENT)
(618) 233-5722
Entity
Organization
Contact information
Practice address
9 PARK PL STE B, SWANSEA, IL 62226-2967
(618) 233-5722
(618) 233-7069
Mailing address
9 PARK PL STE B, SWANSEA, IL 62226-2967
(618) 233-5722
(618) 233-7069
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN#
—
01
—
102265
MISSOURI LICENSE
MO
01
—
118539
MISSOURI LICENSE
MO
01
—
2003008000
MISSOURI LICENSE
MO
Enumeration date
07/12/2006
Last updated
05/21/2020
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