Individual
BRETTON SCOTT LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8521
(618) 391-6699
Mailing address
2076 JOLLY ROGER DR, EDWARDSVILLE, IL 62025-5234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041475159
IL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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