Western Illinois Sports Medicine And Orthopedic Center

NPI 1558496265 - Specialist - 174400000X

NPI Details
NPI 1558496265
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD DEE RONALD
Position PRESIDENT
Phone (217) 224-8955
Fax (217) 223-8917
Practice Location
927 BROADWAY ST STE 104
QUINCY IL, 62301-2728, US
Phone (217) 224-8955
Fax (217) 223-8917
Business Location
927 BROADWAY ST STE 104
QUINCY IL, 62301-2728, US
Phone (217) 224-8955
Fax (217) 223-8917
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1558496265 NPI Number
 

According to our database, Western Illinois Sports Medicine And Orthopedic Center NPI is 1558496265, taxonomy code is 174400000X Western Illinois Sports Medicine And Orthopedic Center physically located at 927 Broadway St Ste 104, Quincy IL, 62301-2728. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1558496265 NPI number is provided on an as is basis without warranty of any kind. 1558496265 is maintained by the National Plan & Provider Enumeration System. The contents of Western Illinois Sports Medicine And Orthopedic Center are for informational purposes only.