Individual
JOSE VEIZAGA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
1004 W MAIN ST, MARION, IL 62959-1870
(508) 369-7895
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36047995
IL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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