Organization
RED BUD PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
325 SPRING STREET, RED BUD, IL 62278-1105
(618) 282-3831
Mailing address
325 SPRING STREET, RED BUD, IL 62278-1105
(618) 282-3831
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
07/07/2023
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