Individual
BRANDON CYCHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC, FLORA, IL 62839-3241
(618) 662-2131
(618) 662-3077
Mailing address
929 STACEY BURK DR, CLAY COUNTY HOSPITAL MEDICAL CLINIC, FLORA, IL 62839-3241
(618) 662-2131
(618) 662-3077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107332
—
IL
01
—
086757
HEALTH ALLIANCE
—
01
—
482023
HEALTHLINK
—
Enumeration date
01/06/2006
Last updated
05/06/2016
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