Organization
GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
650 WEST TAYLOR STREET, VANDALIA, IL 62471-1227
(618) 283-5531
(618) 283-4652
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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