Organization
ASSOCIATED PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE RANDLES DC (RAD TECH)
(618) 628-8211
Entity
Organization
Contact information
Practice address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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