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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