Individual
PATRICIA MARIE SALMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4241 HWY 14 WEST, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2407
(618) 724-2571
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
085001358
IL
208000000X
Pediatrics Physician
085001358
IL
363A00000X
Physician Assistant
Primary
085001358
IL
Other
Enumeration date
08/02/2006
Last updated
10/30/2014
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