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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