Alton Memorial Physician Billing Services, Llc | |
5520 Godfrey Rd Godfrey IL 62035-2741 | |
(618) 463-7800 | |
Not Available |
Full Name | Alton Memorial Physician Billing Services, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 5520 Godfrey Rd, Godfrey, Illinois |
Authorized Official Name and Position | David A Braasch (PRESIDENT) |
Authorized Official Contact | 6184637301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alton Memorial Physician Billing Services, Llc 1 Memorial Dr Alton IL 62002-6722 Ph: () - | Alton Memorial Physician Billing Services, Llc 5520 Godfrey Rd Godfrey IL 62035-2741 Ph: (618) 463-7800 |
NPI Number | 1235550294 |
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Provider Enumeration Date | 12/18/2013 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
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1235550294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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