Organization
VICTOR L HORSLEY DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR LEWIS HORSLEY DPM (OWNER)
(618) 222-6866
Entity
Organization
Contact information
Practice address
4901 WEST MAIN, BELLEVILLE, IL 62226-4724
(618) 222-1986
(618) 222-1898
Mailing address
4901 WEST MAIN, BELLEVILLE, IL 62226-4724
(618) 222-1986
(618) 222-1898
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.004072
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K21303
DME PROVIDER
IL
Enumeration date
03/19/2007
Last updated
12/30/2008
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