Anderson Family Practice

NPI 1023235348 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023235348
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN W ALAN
Position PRESIDENT
Phone (618) 244-7788
Fax (618) 244-9330
Practice Location
3505 BROADWAY ST
MOUNT VERNON IL, 62864-2202, US
Phone (618) 244-7788
Fax (618) 244-9330
Business Location
500 N 27TH ST
MOUNT VERNON IL, 62864-2924, US
Phone (618) 244-3245
Fax (618) 244-3279
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Anderson Family Practice NPI is 1023235348, taxonomy code is 261QP2300X Anderson Family Practice physically located at 3505 Broadway St, Mount Vernon IL, 62864-2202. NPI Number 1033115704 has the healthcare provider type.

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1023235348 NPI number is provided on an as is basis without warranty of any kind. 1023235348 is maintained by the National Plan & Provider Enumeration System. The contents of Anderson Family Practice are for informational purposes only.