Hunter Reach Family Medicine, Llc

NPI 1073835013 - Family Medicine - 207Q00000X

NPI Details
NPI 1073835013
Enumeration Date 02/18/2010
Last Updated 11/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name PAMELA PAMELA
Position OWNER
Phone (618) 614-1400
Fax (618) 614-1401
Practice Location
98 PEACH RIDGE ROAD
ANNA IL, 62906, US
Phone (618) 614-1400
Fax (618) 614-1401
Business Location
98 PEACH RIDGE ROAD
ANNA IL, 62906, US
Phone (618) 614-1400
Fax (618) 614-1401
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036099509
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According to our database, Hunter Reach Family Medicine, Llc NPI is 1073835013, taxonomy code is 207Q00000X and license number is 036099509, license state is located at Illinois. Hunter Reach Family Medicine, Llc physically located at 98 Peach Ridge Road, Anna IL, 62906. NPI Number 1033115704 has the healthcare provider type.

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1073835013 NPI number is provided on an as is basis without warranty of any kind. 1073835013 is maintained by the National Plan & Provider Enumeration System. The contents of Hunter Reach Family Medicine, Llc are for informational purposes only.