Organization
EDWARDSVILLE PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HARBISON DC (PRESIDENT/OWNER)
(618) 254-2273
Entity
Organization
Contact information
Practice address
441 SOUTH STATE ROUTE 157 SUITE 102, EDWARDSVILLE, IL 62025-4012
(618) 254-2273
(618) 254-8476
Mailing address
441 SOUTH STATE ROUTE 157 SUITE 102, EDWARDSVILLE, IL 62025-4012
(618) 254-2273
(618) 254-8476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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