Timoteo Castro Md & Josefina D. Castro Md Ltd

NPI 1235459918 - Family Medicine - 207Q00000X

NPI Details
NPI 1235459918
Enumeration Date 06/04/2010
Last Updated 06/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TIMOTEO REGUIZ TIMOTEO
Position PRESIDENT
Phone (618) 942-7371
Fax (618) 942-8558
Practice Location
321 SOUTH 13ST ST.
HERRIN IL, 62948, US
Phone (618) 942-7371
Fax (618) 942-8558
Business Location
P.O. BOX 158
321 SOUTH 13ST
HERRIN IL, 62948, US
Phone (618) 942-7371
Fax (618) 942-8558
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 36-51919
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According to our database, Timoteo Castro Md & Josefina D. Castro Md Ltd NPI is 1235459918, taxonomy code is 207Q00000X and license number is 36-51919, license state is located at Illinois. Timoteo Castro Md & Josefina D. Castro Md Ltd physically located at 321 South 13st St., Herrin IL, 62948. NPI Number 1033115704 has the healthcare provider type.

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1235459918 NPI number is provided on an as is basis without warranty of any kind. 1235459918 is maintained by the National Plan & Provider Enumeration System. The contents of Timoteo Castro Md & Josefina D. Castro Md Ltd are for informational purposes only.