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Organization

ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS

Active
Other names
St Anthony's Neurosurgery Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MORTON MD (CMO)
(314) 525-1053
Entity
Organization

Contact information

Practice address
211 S BURNS AVE, SPARTA, IL 62286-1895
(314) 543-5999
(314) 543-5994
Mailing address
9735 LANDMARK PARKWAY DR, STE 200, SAINT LOUIS, MO 63127-1646
(314) 543-5999
(314) 543-6836

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
IL

Other

Enumeration date
03/22/2016
Last updated
03/22/2016
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