Organization
GRANITE CITY ORTHOPEDIC PHYSICIANS COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7000
Entity
Organization
Contact information
Practice address
650 W TAYLOR ST, VANDALIA, IL 62471-1227
(618) 283-5531
(618) 283-4652
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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