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Maryville Radiology Group, Ltd
Diagnostic Radiology Physician in Maryville, Illinois
NPI 1497773063

Maryville Radiology Group, Ltd is a Diagnostic Radiology Physician based in Saint Louis, IL and is specialized in Diagnostic Radiology. Maryville Radiology Group, Ltd practices in Maryville, IL. The NPI Number for Maryville Radiology Group, Ltd is 1497773063 and holds a License No. (Illinois).

The current practice location address for Maryville Radiology Group, Ltd is Illinois Route 162, Maryville, IL and can be reached out via phone at 618-288-5711.

Location: Illinois Route 162, Maryville, IL, 63178-8130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497773063
Provider Name
Maryville Radiology Group, Ltd
Credential
Provider Entity Type
Organization
Address
Illinois Route 162, Maryville, IL, 63178-8130
Phone Number
618-288-5711
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149856 01 MO BCBS
6010052 01 IL BCBS
99693 01 GHP
institution
Provider Business Practice Location Address Details
Address
Illinois Route 162
City
Maryville
State
Illinois
Zip
62062
Phone Number
618-288-5711
Fax Number
person
Provider Business Mailing Address Details
Address
Illinois Route 162
City
Maryville
State
Illinois
Zip
62062
Phone Number
618-288-5711
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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