Individual
DR. JOB B. PONTILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N MAIN ST, SUITE D, ANNA, IL 62906-1668
(618) 833-2872
(618) 833-2414
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7000
(615) 465-2884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33163
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108884
—
IL
05
—
20046928
—
MO
01
—
31726018
BCBS--SERVICING PROV. #
MO
Enumeration date
10/12/2005
Last updated
02/05/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us