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Organization
RIVERBEND OPHTHALMOLOGISTS, LTD
Active
Organization
RIVERBEND OPHTHALMOLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MELVIN HUDSON M.D. (PRESIDENT)
(618) 433-5005
Entity
Organization
Contact information
Practice address
1310 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1685
(618) 433-5005
(618) 467-1053
Mailing address
1310 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1685
(618) 433-5005
(618) 467-1053
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7199
MEDICARE RR
IL
Enumeration date
12/29/2005
Last updated
06/04/2010
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