Organization
DRS PICHET & MEECHAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY GROSS (SECRETARY)
(618) 939-8648
Entity
Organization
Contact information
Practice address
509 HAMACHER ST STE 200B, WATERLOO, IL 62298-1592
(618) 939-8648
(618) 939-8650
Mailing address
PO BOX 170, 509 HAMACHER ST, STE 200B, WATERLOO, IL 62298-0170
(618) 939-8648
(618) 939-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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