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Organization
OLD SIX MILE INPATIENT SERVICES, LLC
Active
Organization
OLD SIX MILE INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WEBSTER DO (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
12/10/2013
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