Old Six Mile Inpatient Services, Llc

NPI 1285060665 - Internal Medicine - 207R00000X

NPI Details
NPI 1285060665
Enumeration Date 09/18/2013
Last Updated 12/10/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position PRESIDENT
Phone (618) 798-3000
Fax
Practice Location
2100 MADISON AVE
GRANITE CITY IL, 62040-4701, US
Phone (618) 798-3000
Fax
Business Location
13737 NOEL RD
STE 1600
DALLAS TX, 75240-1331, US
Phone (469) 401-2386
Fax (214) 712-2444
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1285060665 NPI Number
 

According to our database, Old Six Mile Inpatient Services, Llc NPI is 1285060665, taxonomy code is 207R00000X Old Six Mile Inpatient Services, Llc physically located at 2100 Madison Ave, Granite City IL, 62040-4701. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1285060665 NPI number is provided on an as is basis without warranty of any kind. 1285060665 is maintained by the National Plan & Provider Enumeration System. The contents of Old Six Mile Inpatient Services, Llc are for informational purposes only.