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Individual

BART L TROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
PO BOX 19420, SPRINGFIELD, IL 62794-9420
(217) 788-0706
(217) 525-2535

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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