James Richard Pelton DO

NPI 1093800880 - Family Medicine - 207Q00000X

NPI Details
NPI 1093800880
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2970 CHARTRES ST
LA SALLE IL, 61301-1097, US
Phone (815) 223-9678
Fax (815) 223-9683
Business Location
128 E JOLIET ST
OTTAWA IL, 61350-2208, US
Phone (815) 433-0316
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Dr. James Richard Pelton DO NPI is 1093800880, taxonomy code is 207Q00000X James Richard Pelton DO physically located at 2970 Chartres St, La Salle IL, 61301-1097. NPI Number James Richard Pelton DO has the Individual type.

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1093800880 NPI number is provided on an as is basis without warranty of any kind. 1093800880 is maintained by the National Plan & Provider Enumeration System. The contents of James Richard Pelton DO are for informational purposes only.