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Organization
MENARD MEDICAL CENTER, LLC
Active
Organization
MENARD MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. TRAVIS DOWELL (VICE PRESIDENT, HCNA AND OPERATIONS)
(217) 788-3342
Entity
Organization
Contact information
Practice address
1 CENTRE DR, PETERSBURG, IL 62675-9467
(217) 632-7761
(217) 632-0312
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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