Raed Al-dallow M.D.

NPI 1164572095 - Specialist - 174400000X

NPI Details
NPI 1164572095
Gender Male
Enumeration Date 01/11/2007
Last Updated 05/18/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
409 W OAK ST
CARBONDALE IL, 62901-1414, US
Phone (618) 529-4455
Fax (618) 351-1287
Business Location
PO BOX 1105
Phone (618) 457-5200
Fax (618) 351-1287
Taxonomy Code 174400000X
License State Illinois
License Number 036106632
Remove 1164572095 NPI Number

According to our database, Raed Al-dallow M.D. NPI is 1164572095, taxonomy code is 174400000X and license number is 036106632, license state is located at Illinois. Raed Al-dallow M.D. physically located at 409 W Oak St, Carbondale IL, 62901-1414. NPI Number Raed Al-dallow M.D. has the Individual type.

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1164572095 NPI number is provided on an as is basis without warranty of any kind. 1164572095 is maintained by the National Plan & Provider Enumeration System. The contents of Raed Al-dallow M.D. are for informational purposes only.