| Midwest Endoscopy Associates, PLLC | |
|
4224 Lincolnshire Dr Mount Vernon IL 62864-2156 | |
| (314) 724-1348 | |
| Not Available |
| Full Name | Midwest Endoscopy Associates, PLLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4224 Lincolnshire Dr, Mount Vernon, Illinois |
| Authorized Official Name and Position | David Russell Horace (MANAGER) |
| Authorized Official Contact | 6189738740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Endoscopy Associates, PLLC 325 W Lincoln St Belleville IL 62220-1921 Ph: (618) 235-2299 | Midwest Endoscopy Associates, PLLC 4224 Lincolnshire Dr Mount Vernon IL 62864-2156 Ph: (314) 724-1348 |
| NPI Number | 1598334252 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598334252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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