Individual
BETH A BIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13 N WALNUT ST, PINCKNEYVILLE, IL 62274-1050
(618) 357-2147
(618) 357-8142
Mailing address
3702 SHOSHONE CIR, PINCKNEYVILLE, IL 62274-4113
(618) 357-2147
(618) 357-8142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.079733
IL
207Q00000X
Family Medicine Physician
Primary
036-079733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235128554
—
MO
Enumeration date
10/19/2005
Last updated
09/02/2010
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