Shirley Dallmier P.A.

NPI 1750497061 - Physician Assistant - 363A00000X

NPI Details
NPI 1750497061
Gender Female
Enumeration Date 08/21/2006
Last Updated 10/24/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3307 BROADWAY ST STE 130
PHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY
MOUNT VERNON IL, 62864-2387, US
Phone (618) 244-7200
Fax (618) 244-7274
Business Location
3307 BROADWAY ST STE 140
CARE FIRST MEDICAL CENTER
MOUNT VERNON IL, 62864-2387, US
Phone (618) 244-7200
Fax (618) 244-7274
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-000622
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According to our database, Shirley Dallmier P.A. NPI is 1750497061, taxonomy code is 363A00000X and license number is 085-000622, license state is located at Illinois. Shirley Dallmier P.A. physically located at 3307 Broadway St Ste 130, Mount Vernon IL, 62864-2387. NPI Number Shirley Dallmier P.A. has the Individual type.

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1750497061 NPI number is provided on an as is basis without warranty of any kind. 1750497061 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Dallmier P.A. are for informational purposes only.