Dr Jeffrey R Canham, MD | |
302 W Hay St, Suite 200, Decatur, IL 62526-4167 | |
(217) 877-8925 | |
(217) 877-0020 |
Full Name | Dr Jeffrey R Canham |
---|---|
Gender | Male |
Speciality | Urology |
Location | 302 W Hay St, Decatur, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770582983 | NPI | - | NPPES |
036060206 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-060206 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey R Canham, MD 4431 Country Manor Ct, Decatur, IL 62521-2520 Ph: (217) 422-8300 | Dr Jeffrey R Canham, MD 302 W Hay St, Suite 200, Decatur, IL 62526-4167 Ph: (217) 877-8925 |
Mr. Lee G Endsley, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 302 W Hay St, Ste 200, Decatur, IL 62526 Phone: 217-877-8925 Fax: 217-877-0020 | |
Thomas H Tarter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526 Phone: 217-876-6600 Fax: 217-876-6606 | |
Dr. Randy K Sulaver Ii, M.D. Urology Medicare: Medicare Enrolled Practice Location: 302 W Hay St Ste 200, Decatur, IL 62526 Phone: 217-545-8000 Fax: 217-872-1958 |