# COMPETITIVE EDGE SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104000561
- **Authorized official:** DR. DAVID L NEIGHBORS MD (PRESIDENT)
- **Authorized official phone:** (618) 526-2603

## Contact information

- **Practice address:** 14160 JAMESTOWN RD, BREESE, IL 62230
- **Practice address phone:** (618) 526-2603
- **Practice address fax:** (618) 526-1435
- **Mailing address:** 9431 HOLY CROSS LN, BREESE, IL 62230-3510
- **Mailing address phone:** (618) 526-2603
- **Mailing address fax:** (618) 526-1435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 12/20/2007