Organization
BELLEVILLE ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S FELDMAN M.D. (PRESIDENT)
(618) 233-3661
Entity
Organization
Contact information
Practice address
311 WEST LINCOLN ST, SUITE 101, BELLEVILLE, IL 62220
(618) 233-3661
Mailing address
3110WEST LINCOLN ST, SUITE 101, BELLEVILLE, IL 62220
(618) 233-3661
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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