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Organization

SOUTHERN ILLINOIS ENDOSCOPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VASANTHA PERJE PAI MD (PRESIDENT)
(618) 355-0880
Entity
Organization

Contact information

Practice address
2810 FRANK SCOTT PARKWAY, SUITE 716, BELLEVILLE, IL 62223-6802
(618) 355-0880
(618) 355-0881
Mailing address
2810 FRANK SCOTT PARKWAY, SUITE 716, BELLEVILLE, IL 62223-6802
(618) 355-0880
(618) 355-0881

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.097852
IL

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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