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Individual

BRITTAIN UTAH LADD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036176631
IL
207P00000X
Emergency Medicine Physician
2020020206
MO
390200000X
Student in an Organized Health Care Education/Training Program
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20085840
MO
Enumeration date
05/30/2017
Last updated
09/23/2025
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