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Organization

ALTON MEMORIAL PHYSICIAN BILLING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID A BRAASCH (PRESIDENT)
(618) 463-7301
Entity
Organization

Contact information

Practice address
5520 GODFREY RD, GODFREY, IL 62035-2741
(618) 463-7800
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
12/18/2013
Last updated
06/23/2014
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