MARYVILLE WOMENS CENTER SSR PC is an obstetrics gynecology in Maryville, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARYVILLE WOMENS CENTER SSR PC NPI is 1427416494. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2016 VADALABENE DR
SUITE B
MARYVILLE, IL
ZIP 62062-901
Phone: (618) 288-2970
Fax: (618) 288-3572
The provider's authorized official is Kimberly N Sanford .
The authorized official title is Owner and has the following contact phone number (618) 288-2970.
The CLIA number assigned to this NPI record is 14D2143899 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/5/2016.