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Organization

MIDWEST PHYISICIAN ASSOCIATES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID THAYER DC (PRESIDENT)
(618) 692-6700
Entity
Organization

Contact information

Practice address
8 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
(618) 692-6700
(618) 692-6711
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 692-6700
(618) 692-6711

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036-072290
IL

Other

Enumeration date
12/28/2015
Last updated
08/25/2016
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