Individual
DR. JAMES V. PIEPHOFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 E 5TH ST, ALTON, IL 62002-6434
(618) 463-5624
(618) 463-5620
Mailing address
915 E. 5TH ST., ALTON, IL 62002-6434
(618) 463-5623
(618) 463-5620
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036.101504
IL
2085R0001X
Radiation Oncology Physician
036101504
IL
2085R0001X
Radiation Oncology Physician
R6N58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00310407
RAILROAD MEDICARE
IL
Enumeration date
08/23/2006
Last updated
01/22/2014
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