Organization
DR. M.T.JOSEPH M.D.LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELETH T JOSEPH M.D.F.A.C.C (ADMINISTRATOR)
(618) 993-8282
Entity
Organization
Contact information
Practice address
1009 W MAIN ST, MARION, IL 62959-1841
(618) 993-8282
(618) 997-3630
Mailing address
1009 W MAIN ST, MARION, IL 62959-1841
(618) 993-8282
(618) 997-3630
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
IL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
10/29/2007
Last updated
11/29/2007
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