Organization
BELLEVILLE ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY L MIRLY M.D. (OWNER/PRESIDENT)
(618) 235-2900
Entity
Organization
Contact information
Practice address
4550 MEMORIAL DR, SUITE 460, BELLEVILLE, IL 62226-5359
(618) 235-2900
(618) 235-2902
Mailing address
4550 MEMORIAL DR, SUITE 460, BELLEVILLE, IL 62226-5359
(618) 235-2900
(618) 235-2902
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036085921
IL
Other
Enumeration date
10/26/2006
Last updated
01/15/2009
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