Individual
PHILLIP PAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 PINE ST., DELAVAN, IL 61734
(309) 244-7669
Mailing address
402 PINE ST., PO BOX 135, DELAVAN, IL 61734
(309) 244-7669
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036119614
IL
Other
Enumeration date
01/09/2008
Last updated
10/21/2008
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