Individual
JOSEPH SPECKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(228) 861-1192
(618) 997-1122
Mailing address
1616 W MAIN ST STE 508, MARION, IL 62959-1146
(228) 861-1192
(618) 997-1122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013614
IL
Other
Enumeration date
12/08/2015
Last updated
08/26/2020
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