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Organization
PRIMUS TRAUMA CARE LLC
Active
Organization
PRIMUS TRAUMA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J STRAZA (OPERATIONS DIRECTOR)
(309) 661-2247
Entity
Organization
Contact information
Practice address
1304 FRANKLIN AVENUE, NORMAL, IL 61761
(309) 827-4321
Mailing address
1217 CADWELL DR, BLOOMINGTON, IL 61704-3683
(309) 661-2247
(309) 664-7727
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/28/2007
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